Individual provider Active NPI

Asha Rani Mittar, MD

  • Family Medicine Physician
  • Baltimore, MD
National Provider Identifier
1669425179
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D45783 Issued in MD
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

Updated by the provider on Oct 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110805000588 MD Practitioner - Family Practice 5597934687

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.