Individual provider Active NPI

Babita Mahapatra, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Cheverly, MD
National Provider Identifier
1699246785
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
CO1934 Issued in MD
Practice address
3003 Hospital Dr
Cheverly, MD 20785-1194
Phone
(301) 583-3340
Fax
(301) 583-3350
NPI assigned
Dec 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X CO1934 MD Primary

Addresses

Primary practice location

3003 Hospital Dr
Cheverly, MD 20785-1194

Mailing address

8808 Stonehaven CT
Potomac, MD 20854-3632
Phone (202) 374-6427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20190321001881 DC Practitioner - Physician Assistant 3779823174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prince George'S County Health DepartmentGroup PAC ID 0547542243, 2 clinicians

Practice addresses (Care Compare)

3003 Hospital Dr
Cheverly, MD 20785-1194
Phone (301) 583-5950

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CO1934MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prince George'S County Health Department CurrentSince Feb 4, 2019 Accepting new patients

Locations

3003 Hospital Dr
Hyattsville, MD 20785
Phone (301) 583-3340

1701 McCormick Dr
Ste 102
Upper Marlboro, MD 20774

1701 McCormick Dr
Ste 120
Upper Marlboro, MD 20774

Interoperability endpoints

  • Direct secure messaging: bmahapatra337191@direct.ochin.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1699246785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8808 STONEHAVEN CT",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543632",
            "telephone_number": "202-374-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 HOSPITAL DR",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851194",
            "telephone_number": "301-583-3340",
            "fax_number": "301-583-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAPATRA",
        "first_name": "BABITA",
        "name_prefix": "Ms.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "CO1934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheverly, MD

Sources for this page

Verify at the official NPI Registry.