Active NPI
Cynthia Gao
- Pediatrics Physician
- Columbia, MD
National Provider Identifier
1609453190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0100323
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211005003368 | MD | Order and Referring Only - Pediatric Medicine | 0840698841 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0100323 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Pediatrics Physician
- Millersville, MD
- NPI 1356715239
Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.