Active NPI
Juthika Bhaumik, M.D.,M.P.H
- Pediatrics Physician
- Baltimore, MD
National Provider Identifier
1457430811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0018274
- Practice address
- 821 N Eutaw St
210
Baltimore, MD 21201-4648 - Phone
- (410) 383-2250
- Fax
- (410) 383-8378
- NPI assigned
- Nov 4, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0018274 | MD | Primary |
Addresses
Primary practice location
821 N Eutaw St
210
Baltimore, MD 21201-4648
Mailing address
821 N Eutaw St
210
Baltimore, MD 21201-4648
Phone (410) 383-2250
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1585 | Other | MD | BLUE CROSS/BLUE SHIELD |
| 82621 | Other | MD | M.D.I.P.A |
| EO66 0001 | Other | MD | B.C/B.S-FEDERAL |
| 4124464 | Other | MD | AETNA |
| 1200233 | Medicaid | MD | |
| 139771100 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0018274 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457430811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 N EUTAW ST",
"address_2": "210",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212014648",
"telephone_number": "410-383-2250",
"fax_number": "410-383-8378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 N EUTAW ST",
"address_2": "210",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212014648",
"telephone_number": "410-383-2250",
"fax_number": "410-383-8378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHAUMIK",
"first_name": "JUTHIKA",
"name_prefix": "Dr.",
"credential": "M.D.,M.P.H",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0018274",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "1585",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M.D.I.P.A",
"identifier": "82621",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B.C/B.S-FEDERAL",
"identifier": "EO66 0001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4124464",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1200233",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139771100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.