Pankaj B. Dave, P.A.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

C03508 Issued in MD

Practice address

7601 Osler Drive
Towson, MD 21204-7582

Phone

(410) 337-1000

NPI assigned

Sep 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pdave106156@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 and National Provider Directory roles.

• University of Maryland St. Joseph Medical Group, LLC

  • General Practice Physician
  • Towson, MD
  • NPI 1770836785
  Medicare reassignment NPD
• Saint Joseph Medical Center , Inc.

  • Multi-Specialty Clinic/Center
  • Towson, MD
  • NPI 1699862961
  NPD (past)
• St. Joseph Physician Enterprise

  • Multi-Specialty Clinic/Center
  • Towson, MD
  • NPI 1518143304
  NPD (past)

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1780879783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79035",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212790035",
            "telephone_number": "410-337-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 OSLER DRIVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047582",
            "telephone_number": "410-337-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "PANKAJ",
        "middle_name": "B.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-12",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C03508",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "C03508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1068692",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "C03508",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darab Hormozi MD PA
• Linda Darrell, LCSW-C
• Amy Dassoulas, DDS, NBCHWC
• Abbigail Daubach
• Molly Marie Dausch, MSCCC-SLP
• Vihang Dave
• Trina N Davenport
• David L Bloom PA
• David P. Boersma, M.D., L.L.C.
• David P. Boersma, M.D., L.L.C.

• Hospitalist Physician in Towson, MD
• Providers in Towson, MD by specialty
• Hospitalist Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.