Dr Sudhir K Dutta, MD in Nottingham, MD - Medicare Gastroenterology

Dr Sudhir K Dutta, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Nottingham, Maryland. He graduated from medical school in 1971 and has 55 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Sinai Hospital Of Baltimore, Inc, Johns Hopkins University and his current practice location is 4924 Campbell Blvd Ste 205, Nottingham, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 614-5127.

Dr Sudhir K Dutta is licensed to practice in Maryland (license number D17622) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1245280544.

Contact Information

	Dr Sudhir K Dutta, MD
	4924 Campbell Blvd Ste 205, Nottingham, MD 21236-5914
	(410) 614-5127
	(410) 616-7651

Map and Direction

Physician's Profile

Full Name	Dr Sudhir K Dutta
Gender	Male
Speciality	Gastroenterology
Experience	55 Years
Location	4924 Campbell Blvd Ste 205, Nottingham, Maryland
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Sudhir K Dutta graduated from medical school in 1971

NPI Data:

NPI Number: 1245280544
Provider Enumeration Date: 05/10/2006
Last Update Date: 08/22/2024

Medicare PECOS Information:

PECOS PAC ID: 2961527593
Enrollment ID: I20100920000201

Medical Identifiers

Medical identifiers for Dr Sudhir K Dutta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245280544	NPI	-	NPPES
CB9279	Other	MD	R/R MEDICARE GROUP #
371011400	Medicaid	MD
100006730	Other	MD	R/R MEDICARE PROVIDER #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	D17622 (Maryland)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	D17622 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Johns Hopkins Hospital, The	Baltimore, MD	Hospital
Sinai Hospital Of Baltimore	Baltimore, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sinai Hospital Of Baltimore, Inc	0941112346	354
Johns Hopkins University	8921903147	2699

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sudhir K Dutta allows following entities to bill medicare on his behalf.

Entity Name	Sinai Hospital Of Baltimore, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043235666 PECOS PAC ID: 0941112346 Enrollment ID: O20031104000353

Entity Name	Johns Hopkins University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719

Entity Name	Tidalhealth Specialty Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619504735 PECOS PAC ID: 7113340845 Enrollment ID: O20200714000286

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sudhir K Dutta is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Sudhir K Dutta, MD 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 933-6423	Dr Sudhir K Dutta, MD 4924 Campbell Blvd Ste 205, Nottingham, MD 21236-5914 Ph: (410) 614-5127

Reviews and Comments

Internal Medicine Doctors in Nottingham, MD

Dr. Marcea Burnette Whitaker, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 4920 Campbell Blvd, Kaiser Permanente White Marsh Medical Center, Nottingham, MD 21236 Phone: 410-933-7600
Dr. Meeta Gulati, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4920 Campbell Blvd, Nottingham, MD 21236 Phone: 410-933-7600
Dr. Sharon P Dlhosh, MD, MPH Gastroenterology Medicare: Medicare Enrolled Practice Location: 4924 Campbell Blvd, Suite 200, Nottingham, MD 21236 Phone: 443-442-2300 Fax: 443-442-2360
Dr. Fernando Alfonso Delgado, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 41 Locust Path Ct, Nottingham, MD 21236 Phone: 202-689-5548
Dr. David Madder, DO Gastroenterology Medicare: Medicare Enrolled Practice Location: 4924 Campbell Blvd, Suite 200, Nottingham, MD 21236 Phone: 443-442-2300 Fax: 443-442-2360
Dr. Clark Stallings, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4924 Campbell Blvd Ste 200, Nottingham, MD 21236 Phone: 443-442-2300

Dr Sudhir K Dutta, MD - Medicare Gastroenterology in Nottingham, MD