Philip Jaratsak Nivatpumin, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

D0058475 Issued in MD

Practice address

9114 Philadelphia Rd
Suite 208
Baltimore, MD 21237-4317

Phone

(410) 687-5300

Fax

(410) 682-4418

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pnivatpumin@uchs.direct.varian.com

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.

• Upper Chesapeake Hematology and Oncology Services, LLC

  • Hematology & Oncology Physician
  • Bel Air, MD
  • NPI 1699067058
  Medicare reassignment NPD

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1699721654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9114 PHILADELPHIA RD",
            "address_2": "SUITE 208",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374317",
            "telephone_number": "410-687-5300",
            "fax_number": "410-682-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9114 PHILADELPHIA RD",
            "address_2": "SUITE 208",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374317",
            "telephone_number": "410-687-5300",
            "fax_number": "410-682-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIVATPUMIN",
        "first_name": "PHILIP",
        "middle_name": "JARATSAK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MD",
            "license": "D0058475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401416200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Javier Kenichi Nishikawa, MD
• McKenna Nishimoto
• Gabriela Nisly, MD
• Emily Rose Nitsch, COTA/L
• Avigdor Izsak Niv, MD
• Antoineka Nivens
• Angel Nixon-Bryant
• Damond Tyrell Nixon
• Jamerah Nixon
• Kym-Kisha Nixon, LMSW

• Hematology & Oncology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Hematology & Oncology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.