Individual provider Active NPI

Cathy Xiang Gao, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Ellicott City, MD
National Provider Identifier
1487639720
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
D57718 Issued in MD
Practice address
4801 Dorsey Hall Dr
Suite 226
Ellicott City, MD 21042-7766
Phone
(410) 992-7440
Fax
(443) 276-0349
NPI assigned
Dec 9, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X D57718 MD Primary

Addresses

Primary practice location

4801 Dorsey Hall Dr
Suite 226
Ellicott City, MD 21042-7766

Mailing address

11601 Quarterfield Rd
Ellicott City, MD 21042-1280
Phone (410) 992-7440

Other identifiers 1

IdentifierTypeStateIssuer
409914100MedicaidMD

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
I20040621000483 MD Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 7618952169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5094 Dorsey Hall Dr
Suite 105
Ellicott City, MD 21042-7821
Phone (410) 884-9293

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Rehab and Pain Specialists,LLC CurrentSince Oct 22, 2011 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Levin Chiropractic PA PastSince Sep 4, 2022 Accepting new patients
The Rehabiliation Team West Past Accepting new patients

Locations

5094 Dorsey Hall Dr
Ste 105
Ellicott City, MD 21042
Phone (410) 884-9293

5070 Dorsey Hall Dr
Ste 101
Ellicott City, MD 21042
Phone (410) 884-9293

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.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1487639720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 QUARTERFIELD RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421280",
            "telephone_number": "410-992-7440",
            "fax_number": "443-276-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 DORSEY HALL DR",
            "address_2": "SUITE 226",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427766",
            "telephone_number": "410-992-7440",
            "fax_number": "443-276-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAO",
        "first_name": "CATHY",
        "middle_name": "XIANG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MD",
            "license": "D57718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409914100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.