Individual provider Active NPI

Colleen Hadigan, MD MPH

  • Pediatrics Physician
  • Bethesda, MD
National Provider Identifier
1942291943
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD036601 Issued in DC
Practice address
10 Center Drive BLDG 10 RM 11C103
MSC 1880
Bethesda, MD 20892-0001
Phone
(301) 594-5754
Fax
(301) 402-4097
NPI assigned
Oct 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD036601 DC Primary
Pediatric Gastroenterology Physician 2080P0206X MD036601 DC
Pediatrics Physician 208000000X 157095 MA
Pediatric Gastroenterology Physician 2080P0206X 157095 MA

Addresses

Primary practice location

10 Center Drive BLDG 10 RM 11C103
MSC 1880
Bethesda, MD 20892-0001

Mailing address

10 Center Drive BLDG 10 RM 11C103
MSC 1880
Bethesda, MD 20892-0001
Phone (301) 594-5754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20220927001297 DC Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3173909264

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
157095MAMDPediatric Gastroenterology Physician

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1942291943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CENTER DRIVE BLDG 10 RM 11C103",
            "address_2": "MSC 1880",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920001",
            "telephone_number": "301-594-5754",
            "fax_number": "301-402-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CENTER DRIVE BLDG 10 RM 11C103",
            "address_2": "MSC 1880",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920001",
            "telephone_number": "301-594-5754",
            "fax_number": "301-402-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADIGAN",
        "first_name": "COLLEEN",
        "name_prefix": "Dr.",
        "credential": "MD MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "MD036601",
            "primary": true
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "DC",
            "license": "MD036601",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "157095",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "MA",
            "license": "157095",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.