VASANT DATTA MD LLC
NPI 1790860898
Clinic/Center - Primary Care in Hagerstown, MD
About Vasant Datta Md Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VASANT DATTA MD LLC (NPI 1790860898) is a healthcare organization registered as a primary care in Hagerstown, Maryland and active in the NPI registry since October 2006. The organization lists Vasant Datta, M.d., as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vasant Datta Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Vasant Datta MD LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Vasant Datta MD LLC's NPI number?
The NPI number for Vasant Datta MD LLC is 1790860898. It was assigned to this organization in the NPPES registry on October 26, 2006.
Where is Vasant Datta MD LLC located?
Vasant Datta MD LLC is located at 9727 Pembroke Dr, Hagerstown, MD 21740. The listed phone number is (240) 675-1231.
What is Vasant Datta MD LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Vasant Datta MD LLC enrolled in Medicare?
Yes. Vasant Datta MD LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vasant Datta MD LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Vasant Datta MD LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Vasant Datta MD LLC was last updated on August 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Vasant Datta Md Llc · NPI 1790860898
Primary Care organization in Hagerstown, Maryland. Organization record, active in the CMS NPPES registry since October 26, 2006.
## Identity
- **NPI:** 1790860898 (Entity type: Organization)
- **Enumerated:** October 26, 2006
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Vasant Datta, M.D.
## Practice location
- **Address:** 9727 PEMBROKE DR, Hagerstown, MD 21740-1568
- **Phone:** (240) 675-1231 · **Fax:** (301) 714-0011
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 23, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1790860898) · Data from the CMS NPPES public registry.