Individual provider Active NPI

Santosh Raiker, M.D

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1598795213
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0040490 Issued in MD
Practice address
5010 York Rd
Baltimore, MD 21212-4437
Phone
(410) 433-2200
Fax
(410) 532-7246
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0040490 MD Primary

Addresses

Primary practice location

5010 York Rd
Baltimore, MD 21212-4437

Mailing address

5010 York Rd
Baltimore, MD 21212-4437
Phone (410) 433-2200

Other identifiers 1

IdentifierTypeStateIssuer
52277302OtherMDBLUECROSS/BLUESHIELD MD

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
I20101230000383 MD Practitioner - Internal Medicine 4587852819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hollis Seunarine Mdpa LLCGroup PAC ID 4183608573, 19 clinicians

Practice addresses (Care Compare)

5010 York Rd
Baltimore, MD 21212-4444
Phone (410) 433-2200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0040490MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hollis Seunarine Mdpa LLC CurrentSince Nov 1, 1996 Accepting new patients

Locations

5010 York Rd
Baltimore, MD 21212
Phone (410) 433-2200

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598795213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124437",
            "telephone_number": "410-433-2200",
            "fax_number": "410-532-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124437",
            "telephone_number": "410-433-2200",
            "fax_number": "410-532-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIKER",
        "first_name": "SANTOSH",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0040490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD MD",
            "identifier": "52277302",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.