Active NPI
Srividya Sathiyamoorthy, MD
- Anatomic Pathology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- D74187
- Practice address
- 600 N Wolfe St
Baltimore, MD 21287-0005 - Phone
- (410) 955-1180
- NPI assigned
- Feb 4, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | D74187 | MD | Primary |
Addresses
Primary practice location
600 N Wolfe St
Baltimore, MD 21287-0005
Mailing address
PO Box 64478
Baltimore, MD 21264-4478
Phone (410) 955-1180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 055642400 | Medicaid | MD |
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
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Memorial Ave
Westminster, MD 21157-5726
Phone (410) 848-3000
200 Memorial Ave
Westminster, MD 21157-5797
Phone (410) 848-3000
2401 E Belvedere Ave
Baltimore, MD 21215-5216
Phone (410) 601-8733
5401 Old Court Rd
Randallstown, MD 21133-5103
Phone (410) 368-3050
900 Caton Ave
Baltimore, MD 21229-5201
Phone (410) 368-3051
Hospital & facility affiliations
- Northwest Hospital Center
- Sinai Hospital of Baltimore
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.7 of 100
- Quality
- 75
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HCT Pathology Services LLC | Anatomic Pathology | Current | Accepting new patients |
| HCT Pathology Services LLC | Anatomic Pathology | Current | Accepting new patients |
Locations
900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120
106 Bow St
Elkton, MD 21921
Phone (410) 298-2000
200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000
Organizations & group practices 3
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.
-
- Anatomic Pathology Physician
- Baltimore, MD
- NPI 1598831976
-
- Anatomic Pathology & Clinical Pathology Physician
- Baltimore, MD
- NPI 1154401396
-
- Anatomic Pathology Physician
- Westminster, MD
- NPI 1659194819
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Randallstown, MD
- NPI 1487695888
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1285672204
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1487325874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362096000000",
"number": "1649418237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64478",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644478",
"telephone_number": "410-955-1180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N WOLFE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870005",
"telephone_number": "410-955-1180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SATHIYAMOORTHY",
"first_name": "SRIVIDYA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-04",
"last_updated": "2013-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "MD",
"license": "D74187",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "055642400",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.