Organization Active NPI

Mid-Atlantic Neurology Consultants

  • Neurology Physician
  • Pasadena, MD
National Provider Identifier
1821261868
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D0067228 Issued in MD
Legal business name
MID-ATLANTIC NEUROLOGY CONSULTANTS
Practice address
8021 Ritchie Highway
Pasadena, MD 21122-1016
Phone
(410) 590-4616
Fax
(410) 590-4619
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Dr. Milan Sanghavi, M.DNPI 1497967277
Title
Owner
Phone
(410) 590-4616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X D0067228 MD Primary

Addresses

Primary practice location

8021 Ritchie Highway
Pasadena, MD 21122-1016

Mailing address

8021 Ritchie Highway
Pasadena, MD 21122-1016
Phone (410) 590-4616

Other practice location 1

20 Crossroads Dr Ste 106
Owings Mills, MD 21117-5480
Phone (410) 730-6911

Other practice location 2

7226 Lee DeForest Dr Ste 102
Columbia, MD 21046-3239
Phone (410) 730-6011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080804000207 MD Part B Supplier - Clinic/Group Practice 1052485471 Receives reassigned benefits from 6 practitioners
Practice locations: Columbia, MD; Owings Mills, MD; Pasadena, MD

National Provider Directory

National Provider Directory
Tax ID family
Mid-Atlantic Neurology Consultants3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4600 Wilkens Ave
Ste 107
Baltimore, MD 21229
Phone (410) 247-6500

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1821261868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8021 RITCHIE HIGHWAY",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221016",
            "telephone_number": "410-590-4616",
            "fax_number": "410-590-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8021 RITCHIE HIGHWAY",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221016",
            "telephone_number": "410-590-4616",
            "fax_number": "410-590-4619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Crossroads Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211175480",
            "country_code": "US",
            "telephone_number": "410-730-6911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7226 Lee DeForest Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210463239",
            "country_code": "US",
            "telephone_number": "410-730-6011",
            "fax_number": "410-730-1599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MID-ATLANTIC NEUROLOGY CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "SANGHAVI",
        "authorized_official_first_name": "MILAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-590-4616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0067228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.