Active NPI
Ramya Bhagavan, D.M.D.
- Dentist
- Jefferson, MD
National Provider Identifier
1801047485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12187
- Practice address
- 3733 Jefferson Pike
Jefferson, MD 21755-8124 - Phone
- (301) 834-8804
- Fax
- (301) 371-0232
- NPI assigned
- Oct 1, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12187 | MD | Primary |
Addresses
Primary practice location
3733 Jefferson Pike
Jefferson, MD 21755-8124
Mailing address
11147 Yellow Leaf Way
German Town, MD 20876
Phone (301) 528-0176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 19, 2016 through Jul 19, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12187 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Family Dentistry, Inc. | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Jefferson, MD
- NPI 1528276599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222819200000",
"number": "1801047485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11147 YELLOW LEAF WAY",
"city": "GERMAN TOWN",
"state": "MD",
"postal_code": "20876",
"telephone_number": "301-528-0176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3733 JEFFERSON PIKE",
"city": "JEFFERSON",
"state": "MD",
"postal_code": "217558124",
"telephone_number": "301-834-8804",
"fax_number": "301-371-0232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHAGAVAN",
"first_name": "RAMYA",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-01",
"last_updated": "2008-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "12187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jefferson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.