Active NPI
Chandrasekharan Nair, MD
- Neurological Surgery Physician
- Baltimore, MD
National Provider Identifier
1811077563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- D0021778
- Practice address
- 5601 Loch Raven Blvd
Ste 100
Baltimore, MD 21239 - Phone
- (410) 532-3898
- Fax
- (410) 532-3854
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | D0021778 | MD | Primary |
Addresses
Primary practice location
5601 Loch Raven Blvd
Ste 100
Baltimore, MD 21239
Mailing address
5601 Loch Raven Blvd
Ste 100
Baltimore, MD 21239
Phone (410) 532-3898
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 278462 | Other | MD | OPTINIUM CHOICE |
| 04386 | Other | AMERICAID | |
| 278462 | Other | MD | ALLIANCE |
| 278462 | Other | MD | MDIPA |
| 25231 | Other | MD | EHP |
| 278462 | Other | MD | MAMSI |
| 30111004 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0021778 | MD | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital 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 Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811077563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 LOCH RAVEN BLVD",
"address_2": "STE 100",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21239",
"telephone_number": "410-532-3898",
"fax_number": "410-532-3854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 LOCH RAVEN BLVD",
"address_2": "STE 100",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21239",
"telephone_number": "410-532-3898",
"fax_number": "410-532-3854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIR",
"first_name": "CHANDRASEKHARAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MD",
"license": "D0021778",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTINIUM CHOICE",
"identifier": "278462",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAID",
"identifier": "04386",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE",
"identifier": "278462",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDIPA",
"identifier": "278462",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EHP",
"identifier": "25231",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "278462",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "30111004",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.