Nicklesh N Singh, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04-34631 Issued in KS

Practice address

2480 Llewellyn Ave Ste 5800
Fort George G Meade, MD 20755-5129

Phone

(301) 677-8212

Fax

(301) 677-8013

NPI assigned

Jul 7, 2009

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1558590901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 LLEWELLYN AVE STE 5800",
            "city": "FORT GEORGE G MEADE",
            "state": "MD",
            "postal_code": "207555129",
            "telephone_number": "301-677-8212",
            "fax_number": "301-677-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 LLEWELLYN AVE STE 5800",
            "city": "FORT GEORGE G MEADE",
            "state": "MD",
            "postal_code": "207555129",
            "telephone_number": "301-677-8212",
            "fax_number": "301-677-8013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "289 Ireland Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Knox",
            "state": "KY",
            "postal_code": "40121",
            "country_code": "US",
            "telephone_number": "502-624-9635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGH",
        "first_name": "NICKLESH",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-07",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-34631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palestine A Sewell, CRNP
• Chao Shen
• Michael Myungkee Shin, D.M.D.
• Eddie J Simmons
• Suzane Gomes Simon, RN
• Claudia Ann Smith
• Tina M Smith
• Michael Kiel Sracic, M.D.
• Lindsay Allen Stuhlmacher, RN
• Meghan Swafford, PA

• Family Medicine Physician in Fort George G Meade, MD
• Providers in Fort George G Meade, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.