Anitha Menon, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0058035 Issued in MD

Practice address

5711 Sarvis Avenue
Suite 200
Riverdale, MD 20737

Phone

(301) 277-8100

Fax

(301) 277-0668

NPI assigned

May 17, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Anitha Menon, M.D.

  • Pediatrics Physician
  • Riverdale, MD
  • NPI 1952029308
  NPD Authorized official
• Sureshkumar Muttath MD LLC

  • Internal Medicine Physician
  • Riverdale, MD
  • NPI 1144256439
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1720030497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 SARVIS AVENUE",
            "address_2": "SUITE 200",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "20737",
            "telephone_number": "301-277-8100",
            "fax_number": "301-277-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 SARVIS AVENUE",
            "address_2": "SUITE 200",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "20737",
            "telephone_number": "301-277-8100",
            "fax_number": "301-277-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENON",
        "first_name": "ANITHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0058035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "488300400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kert Mbuyu
• McClure, Blumenfeld, Digregorio, Sease, P.a., T/a the Dental Group (The Dental Group)
• Mark J McClure, DDS
• Joanne Meighoo
• Carla Marisol Menjivar
• Unknown Mercy Efosi Meombe
• Mercyland Healthcare Services, Inc
• Meridian Health and Behavioral Services LLC
• Meridian Health and Behavioral Services LLC
• Metropolitan Physicians Group LLC

• Pediatrics Physician in Riverdale, MD
• Providers in Riverdale, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.