Mukund S. Didolkar, M.D.

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

M11171 Issued in MD

Practice address

2435 W Belvedere Ave
Suite 46
Baltimore, MD 21215-5224

Phone

(410) 601-8317

Fax

(410) 601-9345

NPI assigned

Jul 12, 2005

Last updated

Feb 18, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mdidolkar120599@direct.umm.edu

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.

• Sinai Hospital of Baltimore, Inc

  • Surgical Oncology Physician
  • Baltimore, MD
  • NPI 1073880183
  Medicare reassignment NPD
• Surgical Oncology Associates MD-PA

  • Surgical Oncology Physician
  • Baltimore, MD
  • NPI 1437173036
  NPD (past) Authorized official
• Sinai Hospital of Baltimore, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1285672204
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1750389870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "address_2": "1ST FLOOR, MAIN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155216",
            "telephone_number": "410-601-8317",
            "fax_number": "410-601-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 W BELVEDERE AVE",
            "address_2": "SUITE 46",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155224",
            "telephone_number": "410-601-8317",
            "fax_number": "410-601-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDOLKAR",
        "first_name": "MUKUND",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "MD",
            "license": "M11171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "460000200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miriam G Dickstein, O.T.
• Viviane Flora Dicoum, NURSE PRACTITIONER
• Vincent James Dicriscio, PHD, ATC, CSCS
• Christina Marie Dicristofaro, RN
• Manjiri Mukund Didolkar, MD, MS
• Susan R Didonato, MA, LCPC
• Emily Diedrich
• Donald S. Diefendorf, P.A.-C
• Beth Carol Diehl Svrjcek, CRNP
• Barbara Lynn Diehl, MA LCPC

• Surgical Oncology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Surgical Oncology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.