Individual provider Active NPI

Niloofar Hakakian, M.D

  • Diagnostic Radiology Physician
  • Aldan, PA
National Provider Identifier
1821389149
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MT192497 Issued in PA
Practice address
772 E Providence Rd Apt 313
Aldan, PA 19018-4321
Phone
(443) 762-1565
NPI assigned
Apr 20, 2011
Last updated
Apr 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MT192497 PA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20130708000099 MD Practitioner - Diagnostic Radiology 4587804034 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Sinai Hospital of Baltimore, IncGroup PAC ID 0941112346, 373 clinicians

Practice addresses (Care Compare)

5401 Old Court Rd
Randallstown, MD 21133-5103
Phone (410) 701-4545

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT192497PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Union Hospital of Cecil County CurrentSince Aug 1, 2015 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jul 26, 2021 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Jul 26, 2021 Accepting new patients
Union Hospital of Cecil County Diagnostic Radiology CurrentSince Apr 19, 2017 Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

2435 W Belvedere Ave
Ste 4
Baltimore, MD 21215
Phone (410) 601-5547

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

210 Chesapeake Blvd
Elkton, MD 21921

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1821389149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 E PROVIDENCE RD APT 313",
            "city": "ALDAN",
            "state": "PA",
            "postal_code": "190184321",
            "telephone_number": "443-762-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "772 E PROVIDENCE RD APT 313",
            "city": "ALDAN",
            "state": "PA",
            "postal_code": "190184321",
            "telephone_number": "443-762-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKAKIAN",
        "first_name": "NILOOFAR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MT192497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aldan, PA

Sources for this page

Verify at the official NPI Registry.