Individual provider Active NPI

Daniel J Bochicchio, M.D.

  • Addiction Medicine (Anesthesiology) Physician
  • Havre de Grace, MD
National Provider Identifier
1689757791
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X
License
D46256 Issued in MD
Practice address
800 Tydings LN
Havre de Grace, MD 21078-2102
Phone
(410) 273-2048
NPI assigned
Oct 23, 2006
Last updated
Oct 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D46256 MD
Critical Care Medicine (Anesthesiology) Physician 207LC0200X D46256 MD
Internal Medicine Physician 207R00000X D46256 MD
Addiction Medicine (Anesthesiology) Physician 207LA0401X D46256 MD Primary

Addresses

Primary practice location

800 Tydings LN
Havre de Grace, MD 21078-2102

Mailing address

7505 Greenway Center Dr
Greenbelt, MD 20770-3507
Phone (410) 733-5738

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
I20040401001246 MD Practitioner - Anesthesiology 3779575493 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D46256MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteers of America Chesapeake & Carolinas, Inc. CurrentSince Feb 25, 2021 Accepting new patients
Volunteers of America Chesapeake Inc Current Accepting new patients
Volunteers of America Chesapeake & Carolinas, Inc. CurrentSince Dec 2, 2020 Accepting new patients
Volunteers of America Chesapeake & Carolinas, Inc. CurrentSince Dec 2, 2020 Accepting new patients
Volunteers of America Chesapeake & Carolinas, Inc PastSince Sep 1, 2021 Accepting new patients

Locations

7901 Annapolis Rd
Lanham, MD 20706
Phone (301) 459-2929

3108 Lord Baltimore Dr
Ste 108
Windsor Mill, MD 21244
Phone (301) 395-7490

Organizations & group practices 5

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1689757791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 GREENWAY CENTER DR",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703507",
            "telephone_number": "410-733-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 TYDINGS LN",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782102",
            "telephone_number": "410-273-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCHICCHIO",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D46256",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "MD",
            "license": "D46256",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D46256",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "MD",
            "license": "D46256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

Verify at the official NPI Registry.