Active NPI
Atchutha Geetha Chan Chilakamarri, MD
- Geriatric Medicine (Family Medicine) Physician
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- D69568
- Practice address
- 1562 Opossumtown Pike
Frederick, MD 21702-4920 - Phone
- (240) 566-3031
- NPI assigned
- Apr 19, 2007
- Last updated
- Jan 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | D69568 | MD | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MD037199 | DC |
Addresses
Primary practice location
1562 Opossumtown Pike
Frederick, MD 21702-4920
Mailing address
PO Box 37086
Baltimore, MD 21297-3086
Phone (240) 439-8812
Other practice location 1
10110 Molecular Drive
suite 206
Rockville, MD 20850
Phone (301) 279-2779
Other practice location 2
10110 Molecular Drive
suite 206
Rockville, MD 20850
Phone (301) 279-2779
Other practice location 3
10110 Molecular Drive
suite 206
Rockville, MD 20850
Phone (301) 279-2779
Other practice location 4
1183 Luther Dr
Hagerstown, MD 21740-7407
Phone (301) 790-3001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 418857801 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- 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
- Family Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
141 S Main St
Boonsboro, MD 21713-1203
Phone (240) 393-6880
303 Adclare Rd
Rockville, MD 20850-3825
Phone (240) 393-6880
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.62 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 78.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Medical Group LLC | Current | Accepting new patients | |
| M Medical Group, Inc. | Current | Accepting new patients | |
| Hebrew Home of Greater Washington Inc | Current | Accepting new patients | |
| Srig Med LLC | Geriatric Medicine | Current | Accepting new patients |
| M Medical Group, Inc. | Current | Accepting new patients | |
| Frederick Health Medical Group LLC | Current | Accepting new patients | |
| Hebrew Home of Greater Washington Inc | Geriatric Medicine | Current | Accepting new patients |
| Frederick Health Medical Group LLC | Current | Accepting new patients | |
| M Medical Group, Inc. | Current | Accepting new patients | |
| Varahe Health Services LLC | Geriatric Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
22 S Athol Ave
Baltimore, MD 21229
Phone (410) 566-5015
141 S Main St
Boonsboro, MD 21713
Phone (301) 432-5457
9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930
1562 Opossumtown Pike
Frederick, MD 21702
Phone (240) 566-4500
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
21030 Frederick Rd
Ste 102
Germantown, MD 20876
303 Adclare Rd
Rockville, MD 20850
Phone (301) 279-9000
6121 Montrose Rd
Rockville, MD 20852
Phone (301) 770-8377
Organizations & group practices 11
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 Frederick Health Medical Group
- Family Medicine Physician
- Frederick, MD
- NPI 1619258225
-
- Internal Medicine Physician
- Rising Sun, MD
- NPI 1164238333
-
- Critical Care Medicine (Internal Medicine) Physician
- Clinton, MD
- NPI 1780056168
DC
-
- Family Medicine Physician
- Mount Airy, MD
- NPI 1114771862
-
dba Frederick Health Medical Group
- Psychiatry Physician
- Frederick, MD
- NPI 1457793424
-
- Geriatric Medicine (Internal Medicine) Physician
- Rockville, MD
- NPI 1497572275
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1447076203
-
- Geriatric Medicine (Family Medicine) Physician
- Rockville, MD
- NPI 1811727753
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Gaithersburg, MD
- NPI 1902149891
-
- Community Based Hospice Care Agency
- Westminster, MD
- NPI 1437156775
-
dba Frederick Health Hospice
- Community Based Hospice Care Agency
- Frederick, MD
- NPI 1205832268
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1750508958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37086",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973086",
"telephone_number": "240-439-8812",
"fax_number": "240-439-8910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1562 OPOSSUMTOWN PIKE",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024920",
"telephone_number": "240-566-3031"
}
],
"practiceLocations": [
{
"address_1": "10110 Molecular Drive",
"address_2": "suite 206",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "20850",
"country_code": "US",
"telephone_number": "301-279-2779",
"fax_number": "301-279-2767",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10110 Molecular Drive",
"address_2": "suite 206",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "20850",
"country_code": "US",
"telephone_number": "301-279-2779",
"fax_number": "301-279-2767",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10110 Molecular Drive",
"address_2": "suite 206",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "20850",
"country_code": "US",
"telephone_number": "301-279-2779",
"fax_number": "301-279-2767",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1183 Luther Dr",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "217407407",
"country_code": "US",
"telephone_number": "301-790-3001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHILAKAMARRI",
"first_name": "ATCHUTHA GEETHA CHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "MD",
"license": "D69568",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "DC",
"license": "MD037199",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "418857801",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.