Individual provider Active NPI

Sanjivani Avinash Kolge, MD

  • Internal Medicine Physician
  • Pasadena, MD
National Provider Identifier
1851529267
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0073860 Issued in MD
Practice address
8105 Ritchie Hwy
Pasadena, MD 21122-3905
Phone
(443) 573-0564
Fax
(443) 573-0565
NPI assigned
Jun 24, 2009
Last updated
Dec 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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 D0073860 MD Primary

Addresses

Primary practice location

8105 Ritchie Hwy
Pasadena, MD 21122-3905

Mailing address

PO Box 759047
Baltimore, MD 21275-9047
Phone (804) 868-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120921000104 MD Practitioner - Internal Medicine 0143478883 Reassigns benefits to 3 organizations
I20161129001284 DC Practitioner - Internal Medicine 0143478883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 E Eager St
E Baltimore Med Ctr
Baltimore, MD 21202-5533
Phone (410) 522-9800

5755 Cedar LN
Columbia, MD 21044-2912
Phone (410) 884-4644

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
80.47
Promoting interoperability
100
Improvement activities
40
Cost
76.96

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Dec 11, 2019 Accepting new patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince May 1, 2017 Accepting new patients
Johns Hopkins Community Physicians Internal Medicine CurrentSince May 1, 2017 Accepting new patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince May 1, 2017 Accepting new patients
Johns Hopkins University CurrentSince Apr 12, 2019 Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Dec 11, 2019 Accepting new patients
Johns Hopkins University CurrentSince Apr 12, 2019 Accepting new patients
Howard County General Hospital, Inc, Past Accepting new patients

Locations

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

600 N Wolfe St
Baltimore, MD 21287

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

Interoperability endpoints

  • Direct secure messaging: skolge53155@direct.hopkinsmedicine.org

Organizations & group practices 8

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 1

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": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1851529267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 759047",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212759047",
            "telephone_number": "804-868-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 RITCHIE HWY",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211223905",
            "telephone_number": "443-573-0564",
            "fax_number": "443-573-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLGE",
        "first_name": "SANJIVANI",
        "middle_name": "AVINASH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0073860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

Verify at the official NPI Registry.