Active NPI
Asha Rani Mittar, MD
- Family Medicine Physician
- Baltimore, MD
National Provider Identifier
1669425179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D45783
- Practice address
- 7001 Johnnycake Rd
Suite#200
Baltimore, MD 21244-2406 - Phone
- (410) 719-9110
- Fax
- (410) 719-9122
- NPI assigned
- May 18, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D45783 | MD | Primary |
Addresses
Primary practice location
7001 Johnnycake Rd
Suite#200
Baltimore, MD 21244-2406
Mailing address
7001 Johnnycake Rd
Suite#200
Baltimore, MD 21244-2406
Phone (410) 719-9110
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110805000588 | MD | Practitioner - Family Practice | 5597934687 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1669425179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7001 JOHNNYCAKE RD",
"address_2": "SUITE#200",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212442406",
"telephone_number": "410-719-9110",
"fax_number": "410-719-9122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 JOHNNYCAKE RD",
"address_2": "SUITE#200",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212442406",
"telephone_number": "410-719-9110",
"fax_number": "410-719-9122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITTAR",
"first_name": "ASHA",
"middle_name": "RANI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D45783",
"primary": true
}
],
"identifiers": [],
"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 Oct 12, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.