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

Last updated

Feb 19, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Diagnostic Radiology

Education

Illinois Medical College, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blackwell Physicians, LLCGroup PAC ID 2163810383, 67 clinicians

Maryland Imaging Network PCGroup PAC ID 6103259304, 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 enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Blackwell Physicians, LLC

  dba AHC Imaging

  • Diagnostic Radiology Physician
  • Rockville, MD
  • NPI 1932772589

  DC

  Medicare reassignment Care Compare group NPD
• Maryland Imaging Network PC

  • Diagnostic Radiology Physician
  • Prince Frederick, MD
  • NPI 1487296471
  Medicare reassignment Care Compare group NPD
• Associated Radiologists, PA

  • Specialist
  • Hagerstown, MD
  • NPI 1932164613
  Medicare reassignment NPD
• Diagnostic Imaging Services, LLC

  • Radiology Clinic/Center
  • Hagerstown, MD
  • NPI 1114982808
  Medicare reassignment NPD
• Medical Faculty Associates, Inc

  • Anesthesiology Physician
  • Washington, DC
  • NPI 1417990581
  Medicare reassignment NPD
• Community Radiology Associates Inc

  • Diagnostic Radiology Physician
  • Silver Spring, MD
  • NPI 1396707782
  Medicare reassignment
• Adventist Hospital-Based Providers, LLC

  dba Adventist Hospital-Based Providers

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

  Diagnostic Radiology

  NPD (past)
• Lafayette Radiology LLC

  • Diagnostic Radiology Physician
  • Lafayette, IN
  • NPI 1891840062
  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
  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
  • Fort Washington, MD
  • NPI 1932146461
  Care Compare affiliation
• Adventist Healthcare, Inc.

  dba Adventist HealthCare White Oak Medical Center

  • General Acute Care Hospital
  • Silver Spring, MD
  • NPI 1487650024
  Care Compare affiliation
• Adventist Healthcare, Inc.

  dba Adventist HealthCare Shady Grove Medical Center

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

The complete NPPES 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": [],
    "endpoints": [],
    "other_names": []
}

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

• Diagnostic Radiology Physician in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• 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.