Shamim Dada, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

D68441 Issued in MD

Practice address

322 E Antietam St
Suite 106
Hagerstown, MD 21740-5794

Phone

(301) 739-6147

Fax

(301) 739-6163

NPI assigned

Jan 27, 2006

Sex

Female

Sole proprietor

No

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.

• Blackwell Physicians, LLC

  • Diagnostic Radiology Physician
  • Rockville, MD
  • NPI 1932772589

  DC, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Maryland Imaging Network PC

  • Diagnostic Radiology Physician
  • Prince Frederick, MD
  • NPI 1487296471

  Diagnostic Radiology, MD

  Medicare reassignment Care Compare group NPD
• Associated Radiologists, PA

  • Specialist
  • Hagerstown, MD
  • NPI 1932164613

  MD

  Medicare reassignment NPD
• Diagnostic Imaging Services, LLC

  • Radiology Clinic/Center
  • Hagerstown, MD
  • NPI 1114982808

  MD

  Medicare reassignment NPD
• Medical Faculty Associates, Inc

  • Anesthesiology Physician
  • Washington, DC
  • NPI 1417990581

  DC

  Medicare reassignment NPD
• Community Radiology Associates Inc

  • Diagnostic Radiology Physician
  • Silver Spring, MD
  • NPI 1396707782

  MD

  Medicare reassignment
• Adventist Hospital-Based Providers, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Rockville, MD
  • NPI 1811735525

  Diagnostic Radiology

  NPD (past)
• Lafayette Radiology LLC

  • Diagnostic Radiology Physician
  • Lafayette, IN
  • NPI 1891840062

  Diagnostic Radiology

  NPD (past)
• Nufinity, LLC

  • Vascular & Interventional Radiology Physician
  • Lafayette, IN
  • NPI 1477506319

  Diagnostic Radiology

  NPD (past)
• Summit Radiology P C

  • Diagnostic Radiology Physician
  • Fort Wayne, IN
  • NPI 1073584587

  Diagnostic Radiology

  NPD (past)

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

• Adventist Healthcare Fort Washington Medical Center Inc

  • General Acute Care Hospital
  • Ft Washington, MD
  • NPI 1932146461

  Hospital

  Care Compare affiliation
• Adventist Healthcare, Inc.

  • General Acute Care Hospital
  • Silver Spring, MD
  • NPI 1487650024

  Hospital

  Care Compare affiliation
• Adventist Healthcare, Inc.

  • General Acute Care Hospital
  • Rockville, MD
  • NPI 1568468221

  Hospital

  Care Compare affiliation

Specialty

Diagnostic Radiology

Education

Illinois Medical College, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blackwell Physicians, LLC 67 clinicians

Maryland Imaging Network PC 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Healthcare Shady Grove Medical Center Hospital, Rockville, MD, CCN 210057
• Adventist Healthcare White Oak Medical Center Hospital, Silver Spring, MD, CCN 210016
• Adventist Healthcare Fort Washington Medical Ctr Hospital, Fort Washington, MD, CCN 210060

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1497726673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 E ANTIETAM ST",
            "address_2": "SUITE 106",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405794",
            "telephone_number": "301-739-6147",
            "fax_number": "301-739-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 E ANTIETAM ST",
            "address_2": "SUITE 106",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405794",
            "telephone_number": "301-739-6147",
            "fax_number": "301-739-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADA",
        "first_name": "SHAMIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D68441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000490229",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11383676",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00388514",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200188770",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zinaida Curtis, LCSW-C
• Angie Custer, LGPC
• Terry Cutchall
• Dazy Mae Cutsail, LGPC
• Frederic Stephen D'Alauro, M.D.
• Said Salah Dahbour, MD
• Kristine Ann Dahilig
• Daksha Patel MD LLC
• James Dale, CAC
• Kaitlyn Daley-Rush

• All providers in Hagerstown, MD
• Diagnostic Radiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.