Individual provider Active NPI

Tina Rakkhit Nandi, MD

  • Dermatology Physician
  • Lutherville, MD
National Provider Identifier
1750568200
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D88261 Issued in MD
Practice address
1407 York Rd Ste 100a
Lutherville, MD 21093-6077
Phone
(410) 252-9090
NPI assigned
Jan 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D88261 MD Primary
Dermatology Physician 207N00000X 247216 MA

Addresses

Primary practice location

1407 York Rd Ste 100a
Lutherville, MD 21093-6077

Mailing address

1407 York Rd Ste 100a
Lutherville, MD 21093-6077
Phone (410) 252-9090

Other identifiers 2

IdentifierTypeStateIssuer
000000936349OtherANTHEM BLUE CROSS & BLUE SHIELD
110090327AMedicaidMA

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
I20200330000027 MD Practitioner - Dermatology 1254505308 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Emory University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Care Specialty Physicians LLCGroup PAC ID 6608978622, 17 clinicians

Practice addresses (Care Compare)

1447 York Rd
Suite 301
Lutherville, MD 21093-6022
Phone (410) 252-9090

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions726
Removal or shaving of skin growth1-10
Skin biopsy174

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
247216MAMDDermatology Physician
D88261MDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Care Specialty Physicians, LLC Dermatology CurrentSince Jul 2, 2024 Accepting new patients
Johns Hopkins University Dermatology CurrentSince Mar 15, 2020 Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University CurrentSince Mar 15, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mohs and Skin Surgery Center, LLC PastSince Jul 2, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

601 N Caroline St
Fl 8
Baltimore, MD 21287
Phone (410) 955-5933

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

1407 York Rd
Ste 100A
Lutherville Timonium, MD 21093
Phone (410) 252-9090

1447 York Rd
Ste 301
Lutherville Timonium, MD 21093
Phone (410) 252-9090

Interoperability endpoints

  • Direct secure messaging: tnandi@arundel.emadirect.md

Organizations & group practices 7

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": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1750568200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 YORK RD STE 100A",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936077",
            "telephone_number": "410-252-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 YORK RD STE 100A",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936077",
            "telephone_number": "410-252-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANDI",
        "first_name": "TINA",
        "middle_name": "RAKKHIT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D88261",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "247216",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS & BLUE SHIELD",
            "identifier": "000000936349",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110090327A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.