Active NPI
Jeffrey T Hirata, MD
- Diagnostic Radiology Physician
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- D0064802
- Practice address
- 2002 Medical Pkwy
Suite 235
Annapolis, MD 21401-3046 - Phone
- (410) 266-2770
- Fax
- (410) 841-6251
- NPI assigned
- Mar 12, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | A102941 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | D0064802 | MD | Primary |
Addresses
Primary practice location
2002 Medical Pkwy
Suite 235
Annapolis, MD 21401-3046
Mailing address
2002 Medical Pkwy
Suite 235
Annapolis, MD 21401-3046
Phone (410) 266-2770
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S645 | Other | MD | MEDICARE AAD |
| 1863725 | Other | MD | AAD AMERIGROUP |
| 1073 | Other | MD | BCBS AAD |
| G0178 | Other | MD | MEDICARE AAD |
| K606AN | Other | ME | AAD BOWIE |
| 154158ZDYC | Other | ME | ARA MEDICARE GROUP PTAN |
| 764801400 | Other | MD | MEDICAID AAD |
| 417295700 | Other | MD | AAD MEDICAL ASSISTANCE |
| 1069 | Other | MD | BCBS ARA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Maryland School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15225 Shady Grove Rd
Suite 105
Rockville, MD 20850-3201
Phone (888) 601-0943
2001 Medical Pkwy
Annapolis, MD 21401-3773
Phone (410) 266-2770
2002 Medical Pkwy
Annapolis, MD 21401-3046
Phone (443) 481-5330
20528 Boland Farm Rd
Suite 110
Germantown, MD 20876-4032
Phone (888) 601-0943
325 Thomas Rd
Severna Park, MD 21146-2115
Phone (888) 601-0943
4175 N Hanson CT
Bowie, MD 20716-3179
Phone (443) 481-3260
8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (410) 266-2770
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A102941 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Medical Imaging PA | Diagnostic Radiology | Current | Accepting new patients |
| Brown, Croft, Frazier, PA | Diagnostic Radiology | Current | Accepting new patients |
| Meritus Medical Center Inc | Current | Accepting new patients | |
| Luminis Health Imaging, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Meritus Medical Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| Meritus Medical Center Inc | Current | Accepting new patients | |
| Luminis Health Imaging, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Community Radiology Associates Inc | Diagnostic Radiology | Past | Accepting new patients |
| Community Radiology Associates Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
2002 Medical Pkwy
Ste 100
Annapolis, MD 21401
Phone (443) 481-4915
2002 Medical Pkwy
Annapolis, MD 21401
Phone (443) 481-4915
2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601
2002 Medical Pkwy
Ste 235
Annapolis, MD 21401
4175 N Hanson Ct
Bowie, MD 20716
Phone (301) 464-0798
11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600
8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608
Organizations & group practices 10
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.
-
dba Annapolis Radiology Associates
- Diagnostic Radiology Physician
- Annapolis, MD
- NPI 1902807324
DC
-
dba Anne Arundel Diagnostics, Inc
- Diagnostic Radiology Physician
- Annapolis, MD
- NPI 1366420879
-
- Diagnostic Radiology Physician
- Silver Spring, MD
- NPI 1396707782
DC
-
dba Anne Arundel Diagnostics, Inc
- Radiology Clinic/Center
- Bowie, MD
- NPI 1194825240
DC, Diagnostic Radiology
-
dba Meritus Palliative Care
- Nurse Practitioner
- Hagerstown, MD
- NPI 1205176393
-
- Diagnostic Radiology Physician
- Silver Spring, MD
- NPI 1962412007
-
dba Meritus Emergency Room Physicians
- Emergency Medicine Physician
- Hagerstown, MD
- NPI 1043086630
-
dba Meritus Radiology
- Diagnostic Radiology Physician
- Hagerstown, MD
- NPI 1184477911
-
- Diagnostic Radiology Physician
- Germantown, MD
- NPI 1780408328
-
- Diagnostic Radiology Physician
- Bethesda, MD
- NPI 1972324606
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Conexus Laboratories Inc.
- Clinical Medical Laboratory
- Annapolis, MD
- NPI 1356885032
Hospital
-
- General Acute Care Hospital
- Annapolis, MD
- NPI 1477517225
-
dba Doctors Community Hospital
- General Acute Care Hospital
- Lanham, MD
- NPI 1730136532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385078400000",
"number": "1740312149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 MEDICAL PKWY",
"address_2": "SUITE 235",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013046",
"telephone_number": "410-266-2770",
"fax_number": "410-841-6251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 MEDICAL PKWY",
"address_2": "SUITE 235",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013046",
"telephone_number": "410-266-2770",
"fax_number": "410-841-6251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIRATA",
"first_name": "JEFFREY",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2013-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A102941",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MD",
"license": "D0064802",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE AAD",
"identifier": "S645",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AAD AMERIGROUP",
"identifier": "1863725",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AAD",
"identifier": "1073",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE AAD",
"identifier": "G0178",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AAD BOWIE",
"identifier": "K606AN",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARA MEDICARE GROUP PTAN",
"identifier": "154158ZDYC",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID AAD",
"identifier": "764801400",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AAD MEDICAL ASSISTANCE",
"identifier": "417295700",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ARA",
"identifier": "1069",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.