Organization Active NPI

Anne Arundel Rheumatology, LLC

  • Rheumatology Physician
  • Crofton, MD
National Provider Identifier
1881664290
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
D0060213 Issued in MD
Legal business name
ANNE ARUNDEL RHEUMATOLOGY, LLC
Practice address
1655 Crofton Blvd
Suite 101
Crofton, MD 21114-1342
Phone
(443) 292-4872
Fax
(443) 292-4892
NPI assigned
Jan 26, 2006
Last updated
May 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Authorized official

Name
Dr. Ashu P Mehta, MDNPI 1669471348
Title
Physician, Owner
Phone
(443) 292-4872

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Rheumatology Physician 207RR0500X D0060213 MD Primary

Addresses

Primary practice location

1655 Crofton Blvd
Suite 101
Crofton, MD 21114-1342

Mailing address

PO Box 37168
Baltimore, MD 21297-3168
Phone (443) 292-4872

Other identifiers 2

IdentifierTypeStateIssuer
409668100MedicaidMD
DD0563OtherRR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051205000187 MD Part B Supplier - Clinic/Group Practice 5092735167 Receives reassigned benefits from 1 practitioner
Practice locations: Crofton, MD

National Provider Directory

National Provider Directory

Locations

600 Ridgely Ave
Ste 220
Annapolis, MD 21401
Phone (410) 266-6452

1655 Crofton Blvd
Ste 101
Crofton, MD 21114
Phone (443) 292-4872

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1881664290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37168",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973168",
            "telephone_number": "443-292-4872",
            "fax_number": "443-292-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 CROFTON BLVD",
            "address_2": "SUITE 101",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141342",
            "telephone_number": "443-292-4872",
            "fax_number": "443-292-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE ARUNDEL RHEUMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "ASHU",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN, OWNER",
        "authorized_official_telephone_number": "443-292-4872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MD",
            "license": "D0060213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409668100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DD0563",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.