Carol Ann Nieroda, MD

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

D45784 Issued in MD

Practice address

7300 Van Dusen Rd
Emergency Room
Laurel, MD 20707-9463

Phone

(301) 497-7954

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA, TX, DC3 enrollments

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 3

Specialty

Internal Medicine

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Padder Health Services LLCGroup PAC ID 7012072648, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AFEBAA

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.

• Padder Health Services, LLC

  • Internal Medicine Physician
  • Laurel, MD
  • NPI 1447426895

  DC

  Medicare reassignment Care Compare group NPD
• Metropolitan Cardiovascular

  • Specialist
  • Beltsville, MD
  • NPI 1477632230

  DC

  Medicare reassignment NPD
• DHHS IHS Phoenix Area

  • Critical Access Hospital
  • Polacca, AZ
  • NPI 1356628028

  TX

  Medicare reassignment NPD
• United Emergency Services, Inc.

  • Emergency Medicine Physician
  • Booneville, MS
  • NPI 1326007915

  VA

  Medicare reassignment NPD
• Padder Health Services, LLC

  • Family Medicine Physician
  • Columbia, MD
  • NPI 1073329595

  Geriatric Medicine

  NPD
• Contee Emergency Physicians

  • Emergency Medicine Physician
  • Laurel, MD
  • NPI 1710936398
  NPD (past)
• Greenville Emergency Physicians, Inc.

  • Emergency Medicine Physician
  • Greenville, OH
  • NPI 1427146638
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1649322785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10807 HAMPTON MILL TER",
            "address_2": "#130",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208525460",
            "telephone_number": "301-231-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 VAN DUSEN RD",
            "address_2": "EMERGENCY ROOM",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207079463",
            "telephone_number": "301-497-7954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIERODA",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MD",
            "license": "D45784",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D45784",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "OH",
            "license": "35.054679",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "D0045784",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "854314",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anyangwe Ngwi
• Patience Ndenge Ngwogou
• Rashauna Nichols, RN
• Andrew Nicholson, MD
• Felicia Campbell Nickelberry, LCPC
• Anisha Chakkacheril Ninan, CRNP
• Nissi Homes LLP
• Syntiche Njafat Epse Ndongo
• Sidone Endam Njang
• Mercy Motaka Njea Epse Mangoh Sr., HHA

• Emergency Medical Services (Emergency Medicine) Physician in Laurel, MD
• Providers in Laurel, MD by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.
• 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.