Individual provider Active NPI

Kambayanda Savitha Chengappa, MD

  • Infectious Disease Physician
  • Annapolis, MD
National Provider Identifier
1790829729
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
D0065940 Issued in MD
Practice address
49 Old Solomons Island Rd
Suite 104
Annapolis, MD 21401-3854
Phone
(410) 573-9511
Fax
(410) 573-4816
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X D0065940 MD Primary

Addresses

Primary practice location

49 Old Solomons Island Rd
Suite 104
Annapolis, MD 21401-3854

Mailing address

PO Box 1927
Edgewater, MD 21037-7927
Phone (410) 573-9511

Other identifiers 1

IdentifierTypeStateIssuer
013847900MedicaidMD

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
I20070917000294 MD Practitioner - Infectious DiseasePractitioner - Internal Medicine 8628041076

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0065940MDMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maryland Nephrology, LLC CurrentSince Aug 1, 2007 Accepting new patients

Locations

1127 West St
Ste 105
Annapolis, MD 21401
Phone (301) 345-0605

Organizations & group practices 1

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1790829729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1927",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210377927",
            "telephone_number": "410-573-9511",
            "fax_number": "410-573-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 OLD SOLOMONS ISLAND RD",
            "address_2": "SUITE 104",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013854",
            "telephone_number": "410-573-9511",
            "fax_number": "410-573-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENGAPPA",
        "first_name": "KAMBAYANDA",
        "middle_name": "SAVITHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D0065940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013847900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.