Individual provider Active NPI

Lakshmi Prasuna Baddela, M.D.

  • Psychiatry Physician
  • Abingdon, MD
National Provider Identifier
1477585941
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0047873 Issued in MD
Practice address
2635 Smallwood Dr
Abingdon, MD 21009-1532
Phone
(410) 569-1399
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0047873 MD Primary

Addresses

Primary practice location

2635 Smallwood Dr
Abingdon, MD 21009-1532

Mailing address

2635 Smallwood Dr
Abingdon, MD 21009-1532
Phone (410) 569-1399

Other identifiers 2

IdentifierTypeStateIssuer
M281OtherMDFEDERAL/BLUE CHOICE
IBO3OtherMDBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050824001111 MD Practitioner - Psychiatry 8921039454 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upper Chesapeake Medical Services IncGroup PAC ID 3173556974, 18 clinicians

Practice addresses (Care Compare)

2635 Smallwood Dr
Abingdon, MD 21009-1532
Phone (443) 371-6999

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (443) 643-1508

660 McHenry Rd
Aberdeen, MD 21001-2682
Phone (443) 843-8050

Hospital & facility affiliations

  • Umd Upper Chesapeake Medical Center Hospital, Bel Air, MD, CCN 210049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0047873MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harford Crisis Center, Inc. Psychiatry CurrentSince Mar 1, 2019 Accepting new patients
Upper Chesapeake Medical Services, Inc CurrentSince Aug 4, 2017 Accepting new patients
Lakshmi P Baddela, M.D.,P.C. CurrentSince Jun 5, 2011 Accepting new patients
Frank W. Gibson, Jr. P.a. PastSince May 1, 1995 Accepting new patients

Locations

802 Baltimore Pike
#A
Bel Air, MD 21014
Phone (443) 643-2422

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

Interoperability endpoints

  • Direct secure messaging: lbaddela651518@direct.umm.edu

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477585941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 SMALLWOOD DR",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091532",
            "telephone_number": "410-569-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 SMALLWOOD DR",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091532",
            "telephone_number": "410-569-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADDELA",
        "first_name": "LAKSHMI",
        "middle_name": "PRASUNA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0047873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL/BLUE CHOICE",
            "identifier": "M281",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "IBO3",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, MD

Sources for this page

Verify at the official NPI Registry.