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DR. HARISH B PILLAI
NPI 1063748531
Internal Medicine in Baltimore, MD

Active since October 19, 2009PECOS Enrolled
85.99/100
CMS Quality Rating
2401 W BELVEDERE AVE, BALTIMORE, MD 21215(410) 601-5284 Get Directions Write a Review

NPPES record last updated: October 19, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Harish B Pillai NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HARISH B PILLAI (NPI 1063748531) is an individual internal medicine provider in Baltimore, Maryland, licensed in Maryland (P24015) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1063748531
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. HARISH B PILLAI
Location Address2401 W BELVEDERE AVEBaltimore, MD 21215-5216
Mailing Address2401 W Belvedere AveBaltimore, MD 21215-5216 · (410) 601-5284
Phone(410) 601-5284
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 19, 2009
✔ NPI 1063748531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · P24015
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2401 W BELVEDERE AVE, Baltimore, MD 21215
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Harish B Pillai is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749415834
PECOS Enrollment IDI20190827001840
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
221 services118 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
158 services155 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
115 services62 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
74 services72 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tanner Medical Center - Carrollton

Acute Care Hospitals · Carrollton, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110011
Location705 Dixie StreetCarrollton, GA 30117 · Carroll County
Birthing friendly

Tanner Medical Center Villa Rica

Acute Care Hospitals · Villa Rica, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110015
Location601 Dallas HighwayVilla Rica, GA 30180 · Carroll County
Emergency services Birthing friendly

Higgins General Hospital

Critical Access Hospitals · Bremen, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111320
Location200 Allen Memorial DriveBremen, GA 30110 · Haralson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.98
Improvement Activities40
Cost80.63

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers23 claims23 services$15.26 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers46 claims46 services$65.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTEN MARLL
Nurse Anesthetist, Certified Registered
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Baltimore City (410) 601-5209
ANDREW BRAVE CRNP
Nurse Practitioner (Family)
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Baltimore City (410) 601-9000
DR. CHRISTIAN KADIRI MD
Internal Medicine
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Baltimore City (410) 601-0594
SNJEZANA JANKOVIC NP
Nurse Practitioner (Family)
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Baltimore City (410) 601-9802
KATHRYN KEMP
Pediatrics (Pediatric Critical Care Medicine)
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Baltimore City (410) 601-9000
YULANDA BLACKSTON LGPC
Counselor (Professional)
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Baltimore City (410) 459-3040
DUNCAN MCELFRESH CRNA
Nurse Anesthetist, Certified Registered
2401 W BELVEDERE AVE, ANESTHESIA DEPARTMENT
BALTIMORE, MD 21215
Baltimore City (410) 601-5209
MRS. KERRY SWEENEY MCCARTNEY FNP
Nurse Practitioner (Family)
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Baltimore City (410) 601-5373

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 Harish Pillai's NPI number?

The NPI number for Harish Pillai is 1063748531. It was assigned to this individual provider in the NPPES registry on October 19, 2009.

Where is Harish Pillai located?

Harish Pillai practices at 2401 W Belvedere Ave, Baltimore, MD 21215. The listed phone number is (410) 601-5284.

What is Harish Pillai's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Harish Pillai enrolled in Medicare?

Yes. Harish Pillai is registered in the Medicare PECOS enrollment system.

What insurance does Harish Pillai accept?

Health plans from Oscar Insurance Company list Harish Pillai as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Harish Pillai affiliated with any hospitals?

According to CMS data, Harish Pillai is affiliated with Tanner Medical Center - Carrollton, Tanner Medical Center Villa Rica and Higgins General Hospital.

When was this NPI record last updated?

The NPPES record for Harish Pillai was last updated on October 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.