Individual provider Active NPI

Pradeep Simlote, MD

  • Allergy & Immunology Physician
  • Leonardtown, MD
National Provider Identifier
1992811806
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
D0052469 Issued in MD
Practice address
41680 Miss Bessie Dr
Suite 203
Leonardtown, MD 20650-2906
Phone
(301) 475-7900
Fax
(301) 475-3323
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X D0052469 MD Primary

Addresses

Primary practice location

41680 Miss Bessie Dr
Suite 203
Leonardtown, MD 20650-2906

Mailing address

PO Box 459
Hollywood, MD 20636
Phone (301) 475-7900

Other identifiers 3

IdentifierTypeStateIssuer
3846650OtherAETNA
655BPOtherMDCAREFIRST
475310100MedicaidMD

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
I20050322001165 MD Practitioner - Allergy/Immunology 8325094485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

41680 Miss Bessie Dr
Suite 203
Leonardtown, MD 20650-2964
Phone (301) 737-4995

Hospital & facility affiliations

  • Medstar Saint Mary'S Hospital Hospital, Leonardtown, MD, CCN 210028

Merit-based Incentive Payment System (MIPS)

Final score
21.55 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0052469MDMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pradeep Simlote MD PC Allergy & Immunology CurrentSince May 18, 2019 Accepting new patients

Locations

22858 Three Notch Rd
California, MD 20619
Phone (301) 737-4995

3995 Old Town Rd
Ste 202
Huntingtown, MD 20639
Phone (301) 870-0660

41680 Miss Bessie Dr
Ste 203
Leonardtown, MD 20650
Phone (301) 475-7500

11637 Terrace Dr
Ste 103
Waldorf, MD 20602
Phone (301) 645-2034

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1992811806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "20636",
            "telephone_number": "301-475-7900",
            "fax_number": "301-737-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41680 MISS BESSIE DR",
            "address_2": "SUITE 203",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502906",
            "telephone_number": "301-475-7900",
            "fax_number": "301-475-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMLOTE",
        "first_name": "PRADEEP",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MD",
            "license": "D0052469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3846650",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "655BP",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "475310100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonardtown, MD

Sources for this page

Verify at the official NPI Registry.