Individual provider Active NPI

Pavitri Dwivedi

  • Family Medicine Physician
  • Millersville, MD
National Provider Identifier
1679195408
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0100894 Issued in MD
Practice address
8601 Veterans Hwy Ste 200
Millersville, MD 21108-1566
Phone
(410) 729-0424
NPI assigned
May 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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 H0100894 MD Primary

Addresses

Primary practice location

8601 Veterans Hwy Ste 200
Millersville, MD 21108-1566

Mailing address

900 Elkridge Landing Rd FL 2
Linthicum, MD 21090-2924
Phone (443) 462-5010

Other practice location 1

184 S Mayo Trl
Pikeville, KY 41501-1518
Phone (606) 218-2213

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
I20240905000502 MD Practitioner - Family Practice 0941662670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Maryland Community Medical Group IncGroup PAC ID 3678472214, 446 clinicians

Practice addresses (Care Compare)

8601 Veterans Hwy
Suite 200
Millersville, MD 21108-1566
Phone (410) 553-2900

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
  • Community Home Health of Maryland Home health agency, Towson, MD, CCN 217121
  • Centerwell Home Health Home health agency, Columbia, MD, CCN 217071
  • Amedisys Home Health of Maryland Home health agency, Glen Burnie, MD, CCN 217108

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. CurrentSince Aug 1, 2024 Accepting new patients
University of Maryland Community Medical Group, Inc. Family Medicine CurrentSince Aug 1, 2024 Accepting new patients

Locations

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

920 Elkridge Landing Rd
Fl 4
Linthicum Heights, MD 21090
Phone (443) 462-5010

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

8601 Veterans Hwy
Ste 200
Millersville, MD 21108
Phone (410) 553-2900

8601 Veterans Hwy
Ste 111
Millersville, MD 21108
Phone (410) 553-8090

715 Benfield Rd
Severna Park, MD 21146
Phone (410) 729-1600

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1679195408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ELKRIDGE LANDING RD FL 2",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902924",
            "telephone_number": "443-462-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 VETERANS HWY STE 200",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081566",
            "telephone_number": "410-729-0424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "184 S Mayo Trl",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415011518",
            "country_code": "US",
            "telephone_number": "606-218-2213",
            "fax_number": "606-432-4365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWIVEDI",
        "first_name": "PAVITRI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0100894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersville, MD

Sources for this page

Verify at the official NPI Registry.