Individual provider Active NPI

Rajan Sood, M.D.

  • Internal Medicine Physician
  • Bowie, MD
National Provider Identifier
1801873898
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D29097 Issued in MD
Practice address
3060 Mitchellville Rd
Suite 103
Bowie, MD 20716-1389
Phone
(301) 249-8100
Fax
(301) 390-8086
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D29097 MD Primary

Addresses

Primary practice location

3060 Mitchellville Rd
Suite 103
Bowie, MD 20716-1389

Mailing address

3060 Mitchellville Rd
Suite 103
Bowie, MD 20716-1389
Phone (301) 249-8100

Other identifiers 1

IdentifierTypeStateIssuer
D29097OtherMDLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20080616000792 DC Practitioner - Internal Medicine 3375592124 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Behavioral Health LLCGroup PAC ID 8820445364, 12 clinicians

Practice addresses (Care Compare)

4000 Mitchellville Rd
Suite A414
Bowie, MD 20716-3142
Phone (301) 249-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
MD Behavioral Health LLC CurrentSince Feb 19, 2024 Accepting new patients
Bowie Town Medical Practice Internal Medicine CurrentSince Jan 19, 2005 Accepting new patients

Locations

4000 Mitchellville Rd
Ste A414
Bowie, MD 20716
Phone (301) 249-8100

3060 Mitchellville Rd
Ste 103
Bowie, MD 20716
Phone (301) 218-4220

Organizations & group practices 3

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1801873898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 MITCHELLVILLE RD",
            "address_2": "SUITE 103",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161389",
            "telephone_number": "301-249-8100",
            "fax_number": "301-390-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 MITCHELLVILLE RD",
            "address_2": "SUITE 103",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161389",
            "telephone_number": "301-249-8100",
            "fax_number": "301-390-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOD",
        "first_name": "RAJAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D29097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "D29097",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.