Individual provider Active NPI

Cynthia Gao

  • Pediatrics Physician
  • Columbia, MD
National Provider Identifier
1609453190
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0100323 Issued in MD
Practice address
11055 Little Patuxent Pkwy Ste 103
Columbia, MD 21044-2908
Phone
(443) 664-3829
NPI assigned
Mar 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X D0100323 MD Primary

Addresses

Primary practice location

11055 Little Patuxent Pkwy Ste 103
Columbia, MD 21044-2908

Mailing address

11055 Little Patuxent Pkwy Ste 103
Columbia, MD 21044-2908
Phone (443) 664-3829

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
I20211005003368 MD Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 0840698841

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0100323MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White Oak Pediatrics, DRS. Battiata & Impeduglia, P.a. Single Specialty Past Accepting new patients
Howard County Pediatrics, LLC Single Specialty Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cgao1350227@direct.hopkinsmedicine.org

Organizations & group practices 2

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1609453190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11055 LITTLE PATUXENT PKWY STE 103",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442908",
            "telephone_number": "443-664-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11055 LITTLE PATUXENT PKWY STE 103",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442908",
            "telephone_number": "443-664-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAO",
        "first_name": "CYNTHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0100323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.