Individual provider Active NPI

Pradeep Garg, M.D.

  • Internal Medicine Physician
  • Pasadena, MD
National Provider Identifier
1952376469
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D31322 Issued in MD
Practice address
4304 Mountain Rd
Pasadena, MD 21122-4520
Phone
(410) 360-2400
Fax
(410) 439-3342
NPI assigned
Feb 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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 D31322 MD Primary

Addresses

Primary practice location

4304 Mountain Rd
Pasadena, MD 21122-4520

Mailing address

14650 Viburnum Dr
Dayton, MD 21036-1246
Phone (410) 360-2400

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
I20101209000957 MD Practitioner - Internal Medicine 6800083304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chesapeake Primary Care Group PAGroup PAC ID 5890982391, 2 clinicians

Practice addresses (Care Compare)

4304 Mountain Rd
Pasadena, MD 21122-4520
Phone (410) 360-2400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D31322MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Primary Care Group PA Internal Medicine CurrentSince Sep 1, 1996 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

716 Maiden Choice Ln
Ste LL1
Catonsville, MD 21228
Phone (410) 744-8201

4304 Mountain Rd
Pasadena, MD 21122
Phone (410) 360-2400

Interoperability endpoints

  • Direct secure messaging: pradeep.garg.1@28227.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/28227/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 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": "1140307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1952376469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14650 VIBURNUM DR",
            "city": "DAYTON",
            "state": "MD",
            "postal_code": "210361246",
            "telephone_number": "410-360-2400",
            "fax_number": "410-439-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4304 MOUNTAIN RD",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211224520",
            "telephone_number": "410-360-2400",
            "fax_number": "410-439-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARG",
        "first_name": "PRADEEP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-19",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D31322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

Verify at the official NPI Registry.