Individual provider Active NPI

Praveena Gadam, PA-C

  • Physician Assistant
  • Columbia, MD
National Provider Identifier
1669709853
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0004067 Issued in MD
Practice address
8890 McGaw Rd Ste 350
Columbia, MD 21045-4779
Phone
(301) 317-6575
Fax
(301) 317-9376
NPI assigned
Nov 9, 2009
Last updated
Jun 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0004067 MD Primary

Addresses

Primary practice location

8890 McGaw Rd Ste 350
Columbia, MD 21045-4779

Mailing address

8890 McGaw Rd Ste 350
Columbia, MD 21045-4779
Phone (301) 317-6575

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100430000502 MD Practitioner - Physician Assistant 9335277920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Joshi and Merchant, MD,PAGroup PAC ID 4981641206, 9 clinicians

Practice addresses (Care Compare)

8890 McGaw Rd
Suite 350
Columbia, MD 21045-4743

8890 McGaw Rd
Suite 350
Columbia, MD 21045-4779
Phone (301) 317-6575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0004067MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Joshi Mental Health and Wellness LLC CurrentSince Jul 1, 2026 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8890 McGaw Rd
Ste 350
Columbia, MD 21045
Phone (301) 317-6575

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1669709853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8890 MCGAW RD STE 350",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210454779",
            "telephone_number": "301-317-6575",
            "fax_number": "301-317-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8890 MCGAW RD STE 350",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210454779",
            "telephone_number": "301-317-6575",
            "fax_number": "301-317-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADAM",
        "first_name": "PRAVEENA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-09",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.