Active NPI
Adinarayana Divakaruni, M.D.
- Gastroenterology Physician
- Columbia, MD
National Provider Identifier
1699774570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- D0019510
- Practice address
- 10710 Charter Dr
Suite 110
Columbia, MD 21044-3258 - Phone
- (410) 992-9797
- Fax
- (410) 730-0942
- NPI assigned
- Jul 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | D0019510 | MD | Primary |
Addresses
Primary practice location
10710 Charter Dr
Suite 110
Columbia, MD 21044-3258
Mailing address
10710 Charter Dr
Suite 110
Columbia, MD 21044-3258
Phone (410) 992-9797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 988181600 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0019510 | MD | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320796800000",
"number": "1699774570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10710 CHARTER DR",
"address_2": "SUITE 110",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443258",
"telephone_number": "410-992-9797",
"fax_number": "410-730-0942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10710 CHARTER DR",
"address_2": "SUITE 110",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443258",
"telephone_number": "410-992-9797",
"fax_number": "410-730-0942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIVAKARUNI",
"first_name": "ADINARAYANA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2011-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MD",
"license": "D0019510",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "988181600",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
- Discovery Practice Management, Inc. (Discovery Mood & Anxiety Program, Columbia)
- Discovery Practice Management, Inc. (Center For Discovery, Columbia)
- Anthony James Disilvestro
- Elizabeth Renee Disney, PH.D.
- Dispatchhealth-Arizona
- Divine Help Healthcare Services Inc.
- Divine Home Care LLC
- Divine Steps Therapy
- David T Diwa, PHARM.D.
- Juliette Dixon, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.