Individual provider Active NPI

Nadia Ansari, M.D.

  • Pediatrics Physician
  • Linthicum, MD
National Provider Identifier
1477858827
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D74709 Issued in MD
Practice address
605 Global Way
Ste 119
Linthicum, MD 21090-2222
Phone
(410) 789-7337
Fax
(410) 789-0425
NPI assigned
Jan 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D74709 MD Primary

Addresses

Primary practice location

605 Global Way
Ste 119
Linthicum, MD 21090-2222

Mailing address

605 Global Way Ste 119
Linthicum, MD 21090-2222
Phone (667) 888-7337

Other identifiers 6

IdentifierTypeStateIssuer
97760202OtherMDBCBS
056177100MedicaidMD
8569917OtherMDAETNA HMO
9574651OtherMDAETNA PPO
97760201OtherMDBCBS
38940010OtherDCBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Athenaclinicals Direct

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
I20250210001687 MD Practitioner - Pediatric Medicine 6305026600 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D74709MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Linthicum Pediatrics, LLC Pediatrics CurrentSince Nov 18, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

605 Global Way
Ste 119
Linthicum Heights, MD 21090
Phone (410) 789-7337

Interoperability endpoints

  • Direct secure messaging: nadia.ansari.2@26214.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1477858827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 GLOBAL WAY STE 119",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902222",
            "telephone_number": "667-888-7337",
            "fax_number": "410-789-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 GLOBAL WAY",
            "address_2": "STE 119",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902222",
            "telephone_number": "410-789-7337",
            "fax_number": "410-789-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSARI",
        "first_name": "NADIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-17",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D74709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "97760202",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056177100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "8569917",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "9574651",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "97760201",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "38940010",
            "state": "DC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Athenaclinicals",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "605 Global Way",
            "address_2": "Ste 119",
            "city": "Linthicum",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210902222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Linthicum, MD

Sources for this page

Verify at the official NPI Registry.