Individual provider Active NPI

Ajay Bhandari, M.D

  • Psychiatry Physician
  • Hagerstown, MD
National Provider Identifier
1902190457
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0076515 Issued in MD
Practice address
11116 Medical Campus Rd
Suite 2989
Hagerstown, MD 21742-6710
Phone
(301) 766-7603
NPI assigned
Jun 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD039913 DC
Psychiatry Physician 2084P0800X 0101249904 VA
Psychiatry Physician 2084P0800X MD444863 PA
Psychiatry Physician 2084P0800X D0076515 MD Primary

Addresses

Primary practice location

11116 Medical Campus Rd
Suite 2989
Hagerstown, MD 21742-6710

Mailing address

93 Manor Dr
Apt 2
Hagerstown, MD 21740-8804
Phone (717) 343-2909

Other identifiers 1

IdentifierTypeStateIssuer
333720100MedicaidMD

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
I20130927000223 MD Practitioner - Psychiatry 4284890104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, 730 clinicians

Practice addresses (Care Compare)

11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 790-8000

Hospital & facility affiliations

  • Meritus Medical Center Hospital, Hagerstown, MD, CCN 210001
  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD039913DCMDPsychiatry Physician
D0076515MDMDPsychiatry Physician
0101249904VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meritus Medical Center Inc CurrentSince Sep 9, 2013 Accepting new patients
Meritus Medical Center Inc Current Accepting new patients
Meritus Medical Center Inc Past Accepting new patients

Locations

11116 Medical Campus Rd
Ste 2989
Hagerstown, MD 21742
Phone (301) 766-7600

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

11116 Medical Campus Rd
#2989
Hagerstown, MD 21742
Phone (301) 766-7600

Organizations & group practices 3

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

Hospital & facility affiliations 2

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": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1902190457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 MANOR DR",
            "address_2": "APT 2",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217408804",
            "telephone_number": "717-343-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11116 MEDICAL CAMPUS RD",
            "address_2": "SUITE 2989",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426710",
            "telephone_number": "301-766-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHANDARI",
        "first_name": "AJAY",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-01",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD039913",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101249904",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD444863",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0076515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333720100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.