Individual provider Active NPI

Anuradha Amar Gajjar, M.D.

  • Pediatric Nephrology Physician
  • Washington, DC
National Provider Identifier
1720370828
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
MD210011566 Issued in DC
Practice address
111 Michigan Ave NW
Washington, DC 20010-2916
Phone
(202) 476-5058
Fax
(202) 476-3475
NPI assigned
May 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nephrology Physician 2080P0210X MD210011566 DC Primary

Addresses

Primary practice location

111 Michigan Ave NW
Washington, DC 20010-2916

Mailing address

PO Box 744785
Atlanta, GA 30374-4785
Phone (202) 476-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170719001171 NY Practitioner - Pediatric MedicinePractitioner - Nephrology 1951552421 Reassigns benefits to 3 organizations
I20230323002842 DC Practitioner - Pediatric Medicine 1951552421 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD210011566DCMDPediatric Nephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital CurrentSince Mar 9, 2023 Accepting new patients
Memorial Pediatric Group CurrentSince Feb 8, 2018 Accepting new patients
Children's Hospital CurrentSince Mar 9, 2023 Accepting new patients
Kings Physician Services, PC CurrentSince Aug 1, 2020 Accepting new patients
Kings Physician Services, PC CurrentSince Aug 1, 2020 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients
Children's Hospital Current Accepting new patients
Weill Medical College of Cornell Pediatric Nephrology CurrentSince Aug 1, 2017 Accepting new patients
Weill Medical College of Cornell CurrentSince Aug 1, 2017 Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

263 7th Ave
Brooklyn, NY 11215
Phone (718) 246-8510

506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677

525 E 68th St
#M6
New York, NY 10065
Phone (212) 746-3558

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

505 E 70th St
New York, NY 10021
Phone (212) 746-2900

505 E 70th St
Fl 3
New York, NY 10021
Phone (646) 962-3410

1981 Marcus Ave
Ste 208
North New Hyde Park, NY 11042
Phone (718) 670-1415

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 9

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": "1304726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1720370828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744785",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744785",
            "telephone_number": "202-476-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MICHIGAN AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102916",
            "telephone_number": "202-476-5058",
            "fax_number": "202-476-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAJJAR",
        "first_name": "ANURADHA",
        "middle_name": "AMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-07",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "DC",
            "license": "MD210011566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.