Individual provider Active NPI

Jaswinder Sodhi, M.D.

  • Internal Medicine Physician
  • Perry Point, MD
National Provider Identifier
1740225200
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0042682 Issued in MD
Practice address
Vamc
Managed Care Office BLDG 361
Perry Point, MD 21902-0025
Phone
(410) 642-2411
NPI assigned
Jun 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0042682 MD Primary

Addresses

Primary practice location

Vamc
Managed Care Office BLDG 361
Perry Point, MD 21902-0025

Mailing address

11620 Mirror Pond CT
Fulton, MD 20759-2306
Phone (301) 490-7448

Other names 1

  • Dr. Jaswinder K Sodhi Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110316000134 MD Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5193907988 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0042682MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comptroller of Maryland Central Payroll Bureau CurrentSince Jul 15, 2021 Accepting new patients
Comptroller of Maryland Central Payroll Bureau Current Accepting new patients

Locations

300 W Preston St
Ste 402
Baltimore, MD 21201
Phone (410) 767-2940

5262 Woods Rd
Cambridge, MD 21613
Phone (410) 221-2300

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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740225200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11620 MIRROR POND CT",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592306",
            "telephone_number": "301-490-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VAMC",
            "address_2": "MANAGED CARE OFFICE BLDG 361",
            "city": "PERRY POINT",
            "state": "MD",
            "postal_code": "219020025",
            "telephone_number": "410-642-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODHI",
        "first_name": "JASWINDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0042682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASWINDER",
            "last_name": "SODHI",
            "middle_name": "K",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Perry Point, MD

Sources for this page

Verify at the official NPI Registry.