BOWIE TOWN BEHAVIORAL SERVICES, INC
NPI 1154340362
Psychiatry & Neurology - Psychiatry in Bowie, MD
About Bowie Town Behavioral Services, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOWIE TOWN BEHAVIORAL SERVICES, INC (NPI 1154340362) is a healthcare organization registered as a psychiatry in Bowie, Maryland and active in the NPI registry since July 2006. The organization lists Dida K. Ganjoo, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bowie Town Behavioral Services, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Bowie Town Behavioral Services, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bowie Town Behavioral Services, Inc's NPI number?
The NPI number for Bowie Town Behavioral Services, Inc is 1154340362. It was assigned to this organization in the NPPES registry on July 19, 2006.
Where is Bowie Town Behavioral Services, Inc located?
Bowie Town Behavioral Services, Inc is located at 3060 Mitchellville Rd Suite 104, Bowie, MD 20716. The listed phone number is (301) 218-4220.
What is Bowie Town Behavioral Services, Inc's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Bowie Town Behavioral Services, Inc enrolled in Medicare?
Yes. Bowie Town Behavioral Services, Inc is registered in the Medicare PECOS enrollment system.
When is Bowie Town Behavioral Services, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (District of Columbia, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Bowie Town Behavioral Services, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Bowie Town Behavioral Services, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3), Internal Medicine (1) and Psychiatry (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Bowie Town Behavioral Services, Inc was last updated on January 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bowie Town Behavioral Services, Inc · NPI 1154340362
Psychiatry organization in Bowie, Maryland. Organization record, active in the CMS NPPES registry since July 19, 2006.
## Identity
- **NPI:** 1154340362 (Entity type: Organization)
- **Enumerated:** July 19, 2006
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Dida Ganjoo, OWNER
## Practice location
- **Address:** 3060 MITCHELLVILLE RD, SUITE 104, Bowie, MD 20716-1389
- **Phone:** (301) 218-4220 · **Fax:** (301) 218-4330
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, District of Columbia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Internal Medicine (1), Psychiatry (1); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 9, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1154340362) · Data from the CMS NPPES public registry.