Individual provider Active NPI

Arramraju Nagaraju, M.D.

  • Psychiatry Physician
  • Ellicott City, MD
National Provider Identifier
1689724635
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D20214 Issued in MD
Practice address
8120 Hickory High CT Apt G
Ellicott City, MD 21043-5522
Phone
(410) 402-7601
Fax
(410) 402-7610
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D20214 MD Primary

Addresses

Primary practice location

8120 Hickory High CT Apt G
Ellicott City, MD 21043-5522

Mailing address

8120 Hickory High CT Apt G
Ellicott City, MD 21043-5522
Phone (410) 402-7601

Other identifiers 1

IdentifierTypeStateIssuer
107311700MedicaidMD

Other names 1

  • Dr. Nagaraju Arramraju Other name

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
I20041029000717 MD Practitioner - Psychiatry 0547222796 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comptroller of Maryland Central Payroll Bureau Current Accepting new patients
State of Maryland Central Payroll Bureau CurrentSince Jun 11, 2024 Accepting new patients
Comptroller of Maryland Central Payroll Bureau CurrentSince Jun 11, 2024 Accepting new patients

Locations

300 W Preston St
Ste 402
Baltimore, MD 21201
Phone (410) 767-2940

55 Wade Ave
Catonsville, MD 21228
Phone (410) 402-6000

6655 Sykesville Rd
Sykesville, MD 21784
Phone (410) 795-2100

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.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1689724635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 HICKORY HIGH CT APT G",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210435522",
            "telephone_number": "410-402-7601",
            "fax_number": "410-402-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 HICKORY HIGH CT APT G",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210435522",
            "telephone_number": "410-402-7601",
            "fax_number": "410-402-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGARAJU",
        "first_name": "ARRAMRAJU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D20214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107311700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAGARAJU",
            "last_name": "ARRAMRAJU",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.