Individual provider Active NPI

Aruna Bollineni, MD

  • Neurology Physician
  • Westminster, MD
National Provider Identifier
1871758037
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2012015103 Issued in MO
Practice address
193 Stoner Ave
Suite 320
Westminster, MD 21157-5587
Phone
(410) 871-2204
Fax
(410) 871-2207
NPI assigned
Jul 26, 2008
Last updated
May 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2012015103 MO Primary

Addresses

Primary practice location

193 Stoner Ave
Suite 320
Westminster, MD 21157-5587

Mailing address

193 Stoner Ave
Suite 320
Westminster, MD 21157-5587
Phone (410) 871-2204

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
I20161121000843 MD Practitioner - Neurology 8325296171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carroll Health Group LLCGroup PAC ID 3870627029, 68 clinicians

Practice addresses (Care Compare)

193 Stoner Ave
Suite 300
Westminster, MD 21157-5588
Phone (410) 871-9032

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.16 of 100Reported as group
Quality
75.05
Promoting interoperability
100
Improvement activities
40
Cost
68.82

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll Health Group, LLC Neurology CurrentSince Nov 1, 2016 Accepting new patients
Saint Lukes Hospital of Garnett Inc PastSince Sep 17, 2012 Accepting new patients
SLNC Inc Neurology Past Accepting new patients
Saint Lukes Hospital of Garnett Inc PastSince Sep 17, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

504 E Ridgeville Blvd
Ste 110
Mount Airy, MD 21771
Phone (301) 829-5906

193 Stoner Ave
Ste 220
Westminster, MD 21157
Phone (410) 871-2204

193 Stoner Ave
Ste 300
Westminster, MD 21157
Phone (410) 848-4664

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": "1217030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1871758037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 STONER AVE",
            "address_2": "SUITE 320",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575587",
            "telephone_number": "410-871-2204",
            "fax_number": "410-871-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 STONER AVE",
            "address_2": "SUITE 320",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575587",
            "telephone_number": "410-871-2204",
            "fax_number": "410-871-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLINENI",
        "first_name": "ARUNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-26",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2012015103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.