Individual provider Active NPI

Svetlana Paul, MD

  • General Practice Physician
  • Columbia, MD
National Provider Identifier
1770112906
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
D0099109 Issued in MD
Practice address
6310 Stevens Forest Rd Ste 200
Columbia, MD 21046-1036
Phone
(301) 454-9398
NPI assigned
Apr 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X D0099109 MD
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X D0099109 MD Primary

Addresses

Primary practice location

6310 Stevens Forest Rd Ste 200
Columbia, MD 21046-1036

Mailing address

6310 Stevens Forest Rd Ste 200
Columbia, MD 21046-1036
Phone (301) 454-9398

Other practice location 1

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 572-6177

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
I20241027000006 MD Practitioner - General PracticePractitioner - Pediatric Medicine 9133652357 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group LLC Multi-Specialty CurrentSince Aug 16, 2024 Accepting new patients
Saluja Medical Associates Multi-Specialty CurrentSince Jul 1, 2025 Accepting new patients

Locations

6821 Reisterstown Rd
Ste 106
Baltimore, MD 21215
Phone (410) 358-6450

6310 Stevens Forest Rd
Columbia, MD 21046
Phone (410) 740-3240

6310 Stevens Forest Rd
Ste 200
Columbia, MD 21046
Phone (410) 245-2414

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": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1770112906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 STEVENS FOREST RD STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461036",
            "telephone_number": "301-454-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 STEVENS FOREST RD STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461036",
            "telephone_number": "301-454-9398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Hempstead Tpke",
            "address_purpose": "LOCATION",
            "city": "East Meadow",
            "state": "NY",
            "postal_code": "115541859",
            "country_code": "US",
            "telephone_number": "516-572-6177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUL",
        "first_name": "SVETLANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0099109",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0099109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.