Active NPI
Vijayalakshmi Nimmagadda, M.D
- Gynecology Physician
- Glen Burnie, MD
National Provider Identifier
1992854285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- D022570
- Practice address
- 1414 Crain Hwy N
Glen Burnie, MD 21061-7001 - Phone
- (410) 760-4465
- Fax
- (410) 760-0875
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | D022570 | MD | Primary |
Addresses
Primary practice location
1414 Crain Hwy N
Glen Burnie, MD 21061-7001
Mailing address
1414 Crain Hwy N
Glen Burnie, MD 21061-7001
Phone (410) 760-4465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Obstetrics & Gynecology P.C. | Past | Accepting new patients |
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.
-
- Obstetrics Physician
- Glen Burnie, MD
- NPI 1720327893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208390400000",
"number": "1992854285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 CRAIN HWY N",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210617001",
"telephone_number": "410-760-4465",
"fax_number": "410-760-0875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 CRAIN HWY N",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210617001",
"telephone_number": "410-760-4465",
"fax_number": "410-760-0875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIMMAGADDA",
"first_name": "VIJAYALAKSHMI",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2008-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MD",
"license": "D022570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.