Individual provider Active NPI

Lipishree Nayak, M.D.

  • Family Medicine Physician
  • Lanham, MD
National Provider Identifier
1972675742
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0047259 Issued in MD
Practice address
9811 Greenbelt Rd Ste 101
Lanham, MD 20706-2215
Phone
(301) 477-2311
Fax
(301) 477-2753
NPI assigned
Nov 15, 2006
Last updated
Apr 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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 D0047259 MD Primary

Addresses

Primary practice location

9811 Greenbelt Rd Ste 101
Lanham, MD 20706-2215

Mailing address

9811 Greenbelt Rd Ste 101
Lanham, MD 20706-2215
Phone (301) 477-2311

Other identifiers 2

IdentifierTypeStateIssuer
914631800MedicaidMD
08145OtherMDAMERIGROUP

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
I20101021000905 DC Practitioner - Family PracticePractitioner - General PracticePractitioner - Internal Medicine 7315130432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun Rise Rehab LLCGroup PAC ID 4880783810, 22 clinicians

Practice addresses (Care Compare)

7249 Hanover Pkwy
Suite a
Greenbelt, MD 20770-3608
Phone (301) 613-8923

9811 Greenbelt Rd
Suite 101
Lanham, MD 20706-2215
Phone (301) 477-2311

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meade, Reyes & Nayak, P.a. Family Medicine CurrentSince Aug 22, 1995 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9811 Greenbelt Rd
#101
Lanham, MD 20706
Phone (301) 477-2311

9811 Greenbelt Rd
Ste 101
Lanham, MD 20706
Phone (301) 477-2311

9811 Greenbelt Rd
Ste 102
Lanham, MD 20706

Interoperability endpoints

  • Direct secure messaging: lnayak801719@direct.umm.edu

Organizations & group practices 4

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 4

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1972675742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 GREENBELT RD STE 101",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062215",
            "telephone_number": "301-477-2311",
            "fax_number": "301-477-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 GREENBELT RD STE 101",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062215",
            "telephone_number": "301-477-2311",
            "fax_number": "301-477-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYAK",
        "first_name": "LIPISHREE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0047259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "914631800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "08145",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.