Individual provider Active NPI

Himani Shishodia, MD

  • Internal Medicine Physician
  • Lutherville, MD
National Provider Identifier
1932197969
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0068532 Issued in MD
Practice address
2328 W Joppa Rd Ste 310
Lutherville, MD 21093-4685
Phone
(410) 616-2802
Fax
(833) 464-4300
NPI assigned
Oct 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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 D0068532 MD Primary

Addresses

Primary practice location

2328 W Joppa Rd Ste 310
Lutherville, MD 21093-4685

Mailing address

2328 W Joppa Rd Ste 310
Lutherville, MD 21093-4685
Phone (410) 616-2802

Other identifiers 1

IdentifierTypeStateIssuer
220961OtherNYLICENSE

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
I20100323000174 MD Practitioner - Internal Medicine 4284548611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Stony Brook, School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenspring Personal Medicine, LLCGroup PAC ID 7517337918, 6 clinicians

Practice addresses (Care Compare)

2328 W Joppa Rd
Suite 310
Lutherville, MD 21093-4685
Phone (410) 616-2804

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Greenspring Personal Medicine, LLC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
St Lukes Roosevelt Community Care Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2328 W Joppa Rd
Ste 310
Lutherville Timonium, MD 21093
Phone (410) 367-2590

Interoperability endpoints

  • Direct secure messaging: himani.shishodia.1@27774.direct.athenahealth.com

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 5

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1932197969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 W JOPPA RD STE 310",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934685",
            "telephone_number": "410-616-2802",
            "fax_number": "833-464-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 W JOPPA RD STE 310",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934685",
            "telephone_number": "410-616-2802",
            "fax_number": "833-464-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHISHODIA",
        "first_name": "HIMANI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0068532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "220961",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.