NPIMap

Individual provider Active NPI

Archana Sodagam, M.D.

  • Cardiovascular Disease Physician
  • Frederick, MD
National Provider Identifier
1487955399
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D89092 Issued in MD
Practice address
180 Thomas Johnson Dr Ste 202
Frederick, MD 21702-4550
Phone
(301) 631-6877
Fax
(301) 631-2428
NPI assigned
Nov 9, 2010
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD438870 PA
Cardiovascular Disease Physician 207RC0000X MD438870 PA
Cardiovascular Disease Physician 207RC0000X D89092 MD Primary

Addresses

Primary practice location

180 Thomas Johnson Dr Ste 202
Frederick, MD 21702-4550

Mailing address

180 Thomas Johnson Dr Ste 202
Frederick, MD 21702-4550
Phone (301) 631-6877

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200626001671 MD Practitioner - Cardiovascular Disease (Cardiology) 0941465728 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

255 Hospital Dr
FL 3
Glen Burnie, MD 21061-5801
Phone (410) 760-5100

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 787-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
88.82
Promoting interoperability
100
Improvement activities
40
Cost
80.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD438870PAMDInternal Medicine Physician
D89092MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc CurrentSince Jan 1, 2021 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Dec 20, 2024 Accepting new patients
University of Maryland Community Medical Group, Inc. Current Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Dec 20, 2024 Accepting new patients
Frederick Health Hospital Inc CurrentSince Jan 1, 2021 Accepting new patients
Cardiovascular Specialists of Frederick, LLC CurrentSince Jul 6, 2020 Accepting new patients
University of Maryland Baltimore Washington Heart Associates LLC Cardiovascular Disease CurrentSince Nov 1, 2024 Accepting new patients
Frederick Health Hospital Inc Current Accepting new patients
Conemaugh Valley Memorial Hospital Cardiovascular Disease Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Conemaugh Valley Memorial Hospital Cardiovascular Disease Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1562 Opossumtown Pike
Frederick, MD 21702
Phone (240) 566-4500

180 Thomas Johnson Dr
Ste 202
Frederick, MD 21702
Phone (301) 631-6877

255 Hospital Dr
Fl 3
Glen Burnie, MD 21061
Phone (410) 553-8240

255 Hospital Dr
Ste 9
Glen Burnie, MD 21061
Phone (410) 787-4940

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

7845 Oakwood Rd
Ste 106
Glen Burnie, MD 21061
Phone (410) 760-5100

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

920 Elkridge Landing Rd
Fl 4
Linthicum Heights, MD 21090
Phone (443) 462-5010

Interoperability endpoints

  • Direct secure messaging: archana.sodagam.p18@direct.csof.nextgenshare.com
  • Direct secure messaging: asodagam1222712@direct.umm.edu
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 12

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.

Hospital & facility affiliations 2

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": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1487955399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 THOMAS JOHNSON DR STE 202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024550",
            "telephone_number": "301-631-6877",
            "fax_number": "301-631-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 THOMAS JOHNSON DR STE 202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024550",
            "telephone_number": "301-631-6877",
            "fax_number": "301-631-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODAGAM",
        "first_name": "ARCHANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-09",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD438870",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD438870",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D89092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.