Dundalk Medical Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DUNDALK MEDICAL GROUP LLC

Doing business as

Dundalk Medical Group

Practice address

207 Wise Avenue
Dundalk, MD 21222-4911

Phone

(410) 284-1004

Fax

(410) 284-2109

NPI assigned

Dec 4, 2019

Last updated

Apr 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deepak Seth, MDNPI 1154396711

Title

Owner

Phone

(410) 284-1004

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Dundalk Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deepak Seth

  • Specialist
  • Baltimore, MD
  • NPI 1154396711

  Addiction Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Govind Jivanda Seth, M.D.

  • Family Medicine Physician
  • Minneapolis, MN
  • NPI 1154775500

  MD

  Medicare reassignment Care Compare group NPD (past)
• Krina Patel, PA-C

  • Physician Assistant
  • Media, PA
  • NPI 1588240543

  MD

  Medicare reassignment

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648857600000",
    "number": "1619514049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 WISE AVENUE",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212224911",
            "telephone_number": "410-284-1004",
            "fax_number": "410-284-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 WISE AVENUE",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212224911",
            "telephone_number": "410-284-1004",
            "fax_number": "410-284-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNDALK MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A",
        "authorized_official_last_name": "SETH",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-284-1004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "666885200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dundalk Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison Taylor Doss, LMSW
• Esther Enid Douglas
• Dr. David M. Vieth 2, PC (Kool Smiles)
• Drugs Cure Pharmacy & Surgicals LLC (Drugs Cure Pharmacy & Surgicals)
• Drugstore Pharmacy, LLC (Drugstore Pharmacy&Surgicals)
• Dundalk Pediatric Associates, P. a.
• Courtney Nicole Dunnigan
• Dva Healthcare of Maryland LLC (Dundalk Dialysis)
• Brittany Ann Easter, NP
• Edward Silverman DDS and Associates P.a. (Northpoint Dental Associates)

• Family Medicine Physician in Dundalk, MD
• Providers in Dundalk, 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 Apr 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.