Active NPI
Anusha Sirithara
- Internal Medicine Physician
- Bel Air, MD
National Provider Identifier
1962620658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D26191
- Legal business name
- ANUSHA SIRITHARA
- Practice address
- 260 Gateway Dr Ste 2122B
Bel Air, MD 21014-4268 - Phone
- (410) 877-2585
- Fax
- (410) 877-2587
- NPI assigned
- Apr 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anusha Sirithara, MD
- Title
- Owner
- Phone
- (410) 337-6700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D26191 | MD | Primary |
Addresses
Primary practice location
260 Gateway Dr Ste 2122B
Bel Air, MD 21014-4268
Mailing address
260 Gateway Dr Ste 2122B
Bel Air, MD 21014-4268
Phone (410) 877-2585
Other identifiers 19
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962620658 | Other | CORE SOURCE | |
| 1962620658 | Other | GEHA | |
| 1962620658 | Other | AETNA | |
| 1962620658 | Other | EMBLEM HEALTH | |
| -196262020658 | Other | MD | AMERIGROUP - AMERICAID |
| 1962620658 | Other | JOHN HOPKINS HEALTH CARE | |
| 1962620658 | Other | MD | RIVER SIDE HEALTH CARE |
| 1962620658 | Other | GOLDEN RULE | |
| 1962620658 | Other | MAIL HANDLERS | |
| 1962620658 | Other | UNITED HEALTH CARE | |
| 1962620658 | Medicaid | MD | |
| 1962620658 | Other | BLUE CROSS BLUE SHIELD | |
| 1962620658 | Other | COVENTRY | |
| 1962620658 | Other | CHAMPUS TRICARE FOR LIFE | |
| 1962620658 | Other | CARE FIRST | |
| 1962620658 | Other | MD | GEHA |
| 1962620658 | Other | CIGNA | |
| 1962620658 | Other | MD | PRIORITY PARTNERS |
| 1962620658 | Other | MD | HUMANA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435622400000",
"number": "1962620658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 GATEWAY DR STE 2122B",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210144268",
"telephone_number": "410-877-2585",
"fax_number": "410-877-2587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 GATEWAY DR STE 2122B",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210144268",
"telephone_number": "410-877-2585",
"fax_number": "410-877-2587"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANUSHA SIRITHARA",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-20",
"last_updated": "2015-06-30",
"status": "A",
"authorized_official_last_name": "SIRITHARA",
"authorized_official_first_name": "ANUSHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-337-6700",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MD",
"license": "D26191",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORE SOURCE",
"identifier": "1962620658",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEHA",
"identifier": "1962620658",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1962620658",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMBLEM HEALTH",
"identifier": "1962620658",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP - AMERICAID",
"identifier": "-196262020658",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN HOPKINS HEALTH CARE",
"identifier": "1962620658",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RIVER SIDE HEALTH CARE",
"identifier": "1962620658",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GOLDEN RULE",
"identifier": "1962620658",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAIL HANDLERS",
"identifier": "1962620658",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1962620658",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1962620658",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1962620658",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "1962620658",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS TRICARE FOR LIFE",
"identifier": "1962620658",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST",
"identifier": "1962620658",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEHA",
"identifier": "1962620658",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1962620658",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIORITY PARTNERS",
"identifier": "1962620658",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "1962620658",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.