Individual provider Active NPI

Shobhit Singh Negi, MD

  • Psychiatry Physician
  • Mount Airy, MD
National Provider Identifier
1629051040
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D72416 Issued in MD
Practice address
1311 S Main St Ste 202
Mount Airy, MD 21771-5457
Phone
(301) 829-2242
Fax
(301) 829-2240
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 01059034A IN
Psychiatry Physician 2084P0800X 42017 IA
Psychiatry Physician 2084P0800X D72416 MD Primary

Addresses

Primary practice location

1311 S Main St Ste 202
Mount Airy, MD 21771-5457

Mailing address

1311 S Main St Ste 202
Mount Airy, MD 21771-5457
Phone (301) 829-2242

Other practice location 1

850 N Harrison St
Warsaw, IN 46580-3163
Phone (574) 267-7169

Other identifiers 1

IdentifierTypeStateIssuer
200270490AMedicaidIN

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
I20160621001895 MD Practitioner - Psychiatry 8224073879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Perelman School of Med at the University of Pennsylvania, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1311 S Main St
Suite 202
Mount Airy, MD 21771-5457
Phone (301) 829-2242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42017IAMDPsychiatry Physician
01059034AINMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of North Carolina, P.C. CurrentSince Mar 13, 2024 Accepting new patients
Optum Behavioral Care of North Carolina, PC CurrentSince Mar 13, 2024 Accepting new patients
Optum Behavioral Care of North Carolina, PC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1311 S Main St
Ste 202
Mount Airy, MD 21771
Phone (301) 829-2242

650 Ritchie Hwy
Ste 207
Severna Park, MD 21146
Phone (410) 315-9350

1380 Progress Way
Ste 101
Sykesville, MD 21784
Phone (410) 549-5181

Organizations & group practices 4

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1629051040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 S MAIN ST STE 202",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715457",
            "telephone_number": "301-829-2242",
            "fax_number": "301-829-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 S MAIN ST STE 202",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715457",
            "telephone_number": "301-829-2242",
            "fax_number": "301-829-2240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 N Harrison St",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "IN",
            "postal_code": "465803163",
            "country_code": "US",
            "telephone_number": "574-267-7169",
            "fax_number": "574-269-3995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEGI",
        "first_name": "SHOBHIT",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01059034A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "42017",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D72416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200270490A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, MD

Sources for this page

Verify at the official NPI Registry.