KENNETH TELLERMAN MD
NPI 1215924402
Pediatrics in Baltimore, MD

Active since October 03, 2005
711 W 40TH ST STE 438, BALTIMORE, MD 21211(410) 243-8632(410) 243-0470 Get Directions Write a Review

NPPES record last updated: September 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth Tellerman Md NPPES

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

KENNETH TELLERMAN MD (NPI 1215924402) is an individual pediatrics provider in Baltimore, Maryland, licensed in Maryland (D0025147) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1215924402
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameKENNETH TELLERMANCredential: MD
Location Address711 W 40TH ST STE 438Baltimore, MD 21211-2199
Mailing Address2416 Ken Oak RdBaltimore, MD 21209-4310 · (410) 664-6632 · Fax (410) 243-0470
Fax(410) 243-0470
Sole ProprietorNo
Enumeration DateOctober 3, 2005
Last NPPES UpdateSeptember 15, 2021
NPPES CertifiedSeptember 15, 2021
NPI 1215924402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MD · D0025147
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

711 W 40TH ST STE 438, Baltimore, MD 21211

Other Identifiers 1

Medicaid350701700MD

Other Providers at the Same Location NPPES 2

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

Pediatrics
711 W 40TH ST STE 438
BALTIMORE, MD 21211
Pediatrics (Adolescent Medicine)
711 W 40TH ST STE 438
BALTIMORE, MD 21211

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 Kenneth Tellerman's NPI number?

The NPI number for Kenneth Tellerman is 1215924402. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Kenneth Tellerman located?

Kenneth Tellerman practices at 711 W 40th St Ste 438, Baltimore, MD 21211. The listed phone number is (410) 243-8632.

What is Kenneth Tellerman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Kenneth Tellerman was last updated on September 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.