Individual provider Active NPI

Janak A Vidyarthi, M.D.

  • Interventional Pain Medicine Physician
  • Odenton, MD
National Provider Identifier
1619170685
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
D73586 Issued in MD
Practice address
1130 Annapolis Rd
Suite 100
Odenton, MD 21113-1648
Phone
(410) 672-2255
NPI assigned
Jun 7, 2007
Last updated
Feb 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X D73586 MD Primary

Addresses

Primary practice location

1130 Annapolis Rd
Suite 100
Odenton, MD 21113-1648

Mailing address

1130 Annapolis Rd
Ste 103
Odenton, MD 21113-1735
Phone (410) 672-2255

Other identifiers 1

IdentifierTypeStateIssuer
1025815720001MedicaidPA

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
I20120522001193 MD Practitioner - Pain Management 0840334801 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Pennsylvania State University College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

110 Hospital Rd
Suite 214
Prince Frederick, MD 20678-4040
Phone (410) 648-2439

1130 Annapolis Rd
Suite 100
Odenton, MD 21113-1622
Phone (410) 672-2255

130 Lubrano Dr
Suite 112
Annapolis, MD 21401-7192
Phone (410) 672-2255

41680 Miss Bessie Dr
Suite 303
Leonardtown, MD 20650-2965
Phone (410) 648-2439

6427 Baltimore National Pike
Catonsville, MD 21228-3912
Phone (410) 648-2439

7845 Oakwood Rd
Suite 201
Glen Burnie, MD 21061-4257
Phone (410) 672-2255

8186 Lark Brown Rd
Suite 302
Elkridge, MD 21075-6435
Phone (410) 672-2255

Merit-based Incentive Payment System (MIPS)

Final score
22.07 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.55

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Maryland Pain Management, LLC CurrentSince Nov 1, 2013 Accepting new patients
Checkerspot Surgery Centers, LLC Current Accepting new patients
Greater Maryland Pain Management, LLC CurrentSince Nov 1, 2013 Accepting new patients
Greater Maryland Pain Management, LLC Interventional Pain Medicine Past Accepting new patients
Greater Maryland Pain Management, LLC Past Accepting new patients
Advanced Pain Management Specialists, LLC Past Accepting new patients
Greater Maryland Pain Management, LLC Interventional Pain Medicine Past Accepting new patients
Greater Maryland Pain Management, LLC Interventional Pain Medicine Past Accepting new patients
Greater Maryland Pain Management, LLC Past Accepting new patients
Frederick Health Hospital Inc Interventional Pain Medicine Past Accepting new patients
Hillside Pain Management PC Interventional Pain Medicine PastSince Dec 27, 2022 Accepting new patients
York Adams Pain Specialists PC PastSince Feb 9, 2010 Accepting new patients
Greater Maryland Pain Management, LLC Past Accepting new patients
Greater Maryland Pain Management, LLC Past Accepting new patients

Locations

130 Lubrano Dr
Ste 112
Annapolis, MD 21401
Phone (443) 837-7600

6427 Baltimore National Pike
Catonsville, MD 21228
Phone (410) 648-2439

6220 Old Dobbin Ln
Ste 200
Columbia, MD 21045
Phone (301) 262-0400

3168 Braverton St
Ste 250
Edgewater, MD 21037
Phone (410) 956-1600

8186 Lark Brown Rd
Ste 302
Elkridge, MD 21075
Phone (410) 799-4232

7845 Oakwood Rd
Ste 201
Glen Burnie, MD 21061
Phone (410) 582-8039

41680 Miss Bessie Dr
Ste 303
Leonardtown, MD 20650
Phone (240) 256-3711

1130 Annapolis Rd
Ste 100
Odenton, MD 21113
Phone (703) 347-1962

1130 Annapolis Rd
Ste 102
Odenton, MD 21113
Phone (703) 347-1962

110 Hospital Rd
Ste 214
Prince Frederick, MD 20678
Phone (410) 535-7530

301 Steeple Chase Dr
Ste 103
Prince Frederick, MD 20678
Phone (301) 862-3338

Interoperability endpoints

  • Direct secure messaging: greatermarylandpain@ppdxdirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GIBCCD

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1619170685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 ANNAPOLIS RD",
            "address_2": "STE 103",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131735",
            "telephone_number": "410-672-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 ANNAPOLIS RD",
            "address_2": "SUITE 100",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131648",
            "telephone_number": "410-672-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDYARTHI",
        "first_name": "JANAK",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MD",
            "license": "D73586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025815720001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odenton, MD

Sources for this page

Verify at the official NPI Registry.