Individual provider Active NPI

Melanie Perez Magpantay-Garcia, MD

  • Pediatrics Physician
  • Baltimore, MD
National Provider Identifier
1518917293
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0051517 Issued in MD
Practice address
1232 Race Rd
Suite 303
Baltimore, MD 21237-2351
Phone
(410) 687-0808
Fax
(410) 687-0070
NPI assigned
May 11, 2006
Last updated
May 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2012

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 D0051517 MD Primary

Addresses

Primary practice location

1232 Race Rd
Suite 303
Baltimore, MD 21237-2351

Mailing address

PO Box 70011
Baltimore, MD 21237-6011
Phone (410) 687-0808

Other identifiers 1

IdentifierTypeStateIssuer
219700600MedicaidMD

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
I20070514000519 MD Practitioner - Pediatric Medicine 3678670361 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0051517MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McCready Foundation Inc Past Accepting new patients
Medstar Harbor Hospital Physicians LLC Past Accepting new patients
Harbor Hospital Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1518917293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70011",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212376011",
            "telephone_number": "410-687-0808",
            "fax_number": "410-687-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 RACE RD",
            "address_2": "SUITE 303",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212372351",
            "telephone_number": "410-687-0808",
            "fax_number": "410-687-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGPANTAY-GARCIA",
        "first_name": "MELANIE",
        "middle_name": "PEREZ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0051517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219700600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.