Niloofar Hakakian, M.D
Individual provider Active NPI Diagnostic Radiology Physician · Aldan, PA
NPI 1821389149 · NPPES record last updated Apr 20, 2011
Key facts
- NPI
- 1821389149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- MT192497 (PA)
- Practice address
- 772 E Providence Rd Apt 313
Aldan, PA 19018-4321 - Phone
- (443) 762-1565
- NPI assigned
- Apr 20, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Sinai Hospital of Baltimore, Inc
Practice addresses (Care Compare)
5401 Old Court Rd
Randallstown, MD 21133-5103
Phone (410) 701-4545
Hospital & facility affiliations
- Northwest Hospital Center
- Sinai Hospital of Baltimore
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130708000099 | MD | Practitioner - Diagnostic Radiology | 4587804034 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT192497 | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Hospital of Cecil County | Current |
Accepting new patients | |
| Sinai Hospital of Baltimore, Inc. | Current |
Accepting new patients | |
| Sinai Hospital of Baltimore Inc | Current | Accepting new patients | |
| Union Hospital of Cecil County | Diagnostic Radiology | Current |
Accepting new patients |
| Sinai Hospital of Baltimore Inc | Current |
Accepting new patients |
Locations
2401 W Belvedere Ave
Baltimore, MD 21215
2435 W Belvedere Ave
Ste 4
Baltimore, MD 21215
Phone (410) 601-5547
210 Chesapeake Blvd
Elkton, MD 21921
106 Bow St
Elkton, MD 21921
Phone (410) 298-2000
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MT192497 | PA | Yes |
Addresses
Primary practice location
772 E Providence Rd Apt 313
Aldan, PA 19018-4321
Mailing address
772 E Providence Rd Apt 313
Aldan, PA 19018-4321
Phone (443) 762-1565
Other providers in Aldan, PA
- Engage As You Age Home Care LLC
- Linda Susan Erbicella
- Full of Grace Home Care LLC
- G & C Home Care, LLC/
- Georgian Green
- Holcomb Associates, Inc.
- John N Huyette
- Tammy Jolaoso
- Learned Potential
- Let'S Talk Counseling, LLC
All providers in Aldan, PA · Diagnostic Radiology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.