Individual provider Active NPI

Neil V Waravdekar, M.D.

  • Pulmonary Disease Physician
  • Frederick, MD
National Provider Identifier
1780685784
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
D0047611 Issued in MD
Practice address
7115 Guilford Dr
Suite #202
Frederick, MD 21704-5199
Phone
(301) 663-5922
NPI assigned
Aug 2, 2005
Last updated
May 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0047611 MD
Pulmonary Disease Physician 207RP1001X D0047611 MD Primary

Addresses

Primary practice location

7115 Guilford Dr
Suite #202
Frederick, MD 21704-5199

Mailing address

7115 Guilford Drive
Suite #202
Frederick, MD 21704
Phone (301) 663-5922

Other identifiers 1

IdentifierTypeStateIssuer
366311600MedicaidMD

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
I20070219000659 MD Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 0749382984 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Hahnemann University College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frederick Medical and Pulmonary AssocGroup PAC ID 3274504287, 4 clinicians

Practice addresses (Care Compare)

7115 Guilford Dr
Suite 202
Frederick, MD 21704-5236
Phone (301) 663-5922

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.27 of 100Reported as individual
Quality
86.19
Promoting interoperability
98
Improvement activities
40
Cost
77.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0047611MDMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Medical & Pulmonary Assoc CurrentSince Jun 24, 2010 Accepting new patients
Frederick Health Hospital Inc CurrentSince Feb 23, 2014 Accepting new patients
Frederick Health Hospital Inc Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1562 Opossumtown Pike
Frederick, MD 21702
Phone (240) 566-4500

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

7115 Guilford Dr
Ste 202
Frederick, MD 21704
Phone (301) 663-5922

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFDIBA
  • Direct secure messaging: neil.waravdekar@fmpa.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1780685784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 GUILFORD DRIVE",
            "address_2": "SUITE #202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21704",
            "telephone_number": "301-663-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 GUILFORD DR",
            "address_2": "SUITE #202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045199",
            "telephone_number": "301-663-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARAVDEKAR",
        "first_name": "NEIL",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0047611",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D0047611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366311600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.