Individual provider Active NPI

Rajani S Tadimalla, M.D.

  • Family Medicine Physician
  • Westminster, MD
National Provider Identifier
1932288958
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0058246 Issued in MD
Practice address
912 Washington Rd
Hunter Prof. Center
Westminster, MD 21157-5827
Phone
(410) 848-4121
NPI assigned
Nov 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0058246 MD Primary

Addresses

Primary practice location

912 Washington Rd
Hunter Prof. Center
Westminster, MD 21157-5827

Mailing address

912 Washington Rd
Hunter Prof. Center
Westminster, MD 21157-5827
Phone (410) 848-4121

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
I20081001000110 MD Practitioner - Family Practice 4385718279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greater Baltimore Medical CenterGroup PAC ID 1759276975, 350 clinicians

Practice addresses (Care Compare)

10085 Red Run Blvd
Suite 306
Owings Mills, MD 21117-4832
Phone (410) 581-7804

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Baltimore Medical Center, Inc. CurrentSince Jan 31, 2017 Accepting new patients
Greater Baltimore Medical Center, Inc Current Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Jan 31, 2017 Accepting new patients
Greater Baltimore Medical Center, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10085 Red Run Blvd
Ste 306
Owings Mills, MD 21117
Phone (410) 581-7804

10085 Red Run Blvd
Ste 105
Owings Mills, MD 21117
Phone (410) 581-7804

6565 N Charles St
Ste 203
Towson, MD 21204
Phone (410) 828-3760

6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196

6569 N Charles St
Ste 307
Towson, MD 21204
Phone (443) 849-2767

Interoperability endpoints

  • Direct secure messaging: rtadimalla35729@gbmcdirect.org

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 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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932288958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 WASHINGTON RD",
            "address_2": "HUNTER PROF. CENTER",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575827",
            "telephone_number": "410-848-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 WASHINGTON RD",
            "address_2": "HUNTER PROF. CENTER",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575827",
            "telephone_number": "410-848-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADIMALLA",
        "first_name": "RAJANI",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0058246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.