Active NPI
Dr. Vaywala P.a.
- Internal Medicine Physician
- Westminster, MD
National Provider Identifier
1548201312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- DR. VAYWALA P.A.
- Practice address
- 1130 Baltimore Blvd
Westminster, MD 21157-7098 - Phone
- (410) 848-2170
- Fax
- (410) 848-8679
- NPI assigned
- Jun 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nayan Vaywala, M.D.
- Title
- President
- Phone
- (410) 848-2170
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1130 Baltimore Blvd
Westminster, MD 21157-7098
Mailing address
12415 Preserve Way
Reisterstown, MD 21136-3533
Phone (410) 848-2170
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 716601000 | Medicaid | MD | |
| R513 | Other | DC | CAREFERST B/C B/S |
| LQ64VA | Other | MD | CAREFIRST B/C B/S |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484870400000",
"number": "1548201312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12415 PRESERVE WAY",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211363533",
"telephone_number": "410-848-2170",
"fax_number": "410-876-2270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 BALTIMORE BLVD",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211577098",
"telephone_number": "410-848-2170",
"fax_number": "410-848-8679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. VAYWALA P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-10",
"last_updated": "2017-01-20",
"status": "A",
"authorized_official_last_name": "VAYWALA",
"authorized_official_first_name": "NAYAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-848-2170",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "716601000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFERST B/C B/S",
"identifier": "R513",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST B/C B/S",
"identifier": "LQ64VA",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.