DR. DHIVIYA THARMARATNAM M.D.
NPI 1225489669
Internal Medicine in Baltimore, MD

Active since June 27, 2016PECOS Enrolled
80.17/100
CMS Quality Rating
3001 S HANOVER ST, DEPARTMENT OF MEDICINE, BALTIMORE, MD 21225(999) 999-9999 Get Directions Write a Review

NPPES record last updated: May 25, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 25, 2020, Jun 27, 2016 (2 updates tracked since 2016).

About Dr. Dhiviya Tharmaratnam M.d. NPPES

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

DR. DHIVIYA THARMARATNAM M.D. (NPI 1225489669) is an individual internal medicine provider in Baltimore, Maryland, licensed in Maryland (D0089103) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225489669
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. DHIVIYA THARMARATNAMCredential: M.D.
Location Address3001 S HANOVER ST, DEPARTMENT OF MEDICINEBaltimore, MD 21225-1233
Mailing Address3001 S Hanover St, Department Of MedicineBaltimore, MD 21225-1233
Sole ProprietorNo
Enumeration DateJune 27, 2016
Last NPPES UpdateMay 25, 20202 updates tracked since enumeration
NPPES CertifiedMay 25, 2020
✔ NPI 1225489669 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 · D0089103
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.
3001 S HANOVER ST, Baltimore, MD 21225

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dhiviya Tharmaratnam M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Dhiviya Tharmaratnam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
5601 LOCH RAVEN BLVD, RUSSELL MORGAN BLDG 3RD FL
Baltimore, MD 21239
  • Reassigned Medicare billing, Maryland enrollment
  • 2,602 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

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.
226 services215 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21225 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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

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.

Radiology (Diagnostic Radiology)
3001 S HANOVER ST, DEPT OF INTERNAL MEDICINE
BALTIMORE, MD 21225
Internal Medicine (Cardiovascular Disease)
3001 S HANOVER ST
BALTIMORE, MD 21225
Internal Medicine (Cardiovascular Disease)
3001 S HANOVER ST, NATIONAL INSTITUTE ON AGING, 5TH FLOOR OF HARBOR HOSP.
BALTIMORE, MD 21225
Durable Medical Equipment & Medical Supplies (Customized Equipment)
3001 S HANOVER ST, GRUEHN BUILDING SUITE 100
BALTIMORE, MD 21225
Specialist
3001 S HANOVER ST
BALTIMORE, MD 21225
Obstetrics & Gynecology
3001 S HANOVER ST, SUITE 301
BALTIMORE, MD 21225
Emergency Medicine
3001 S HANOVER ST
BALTIMORE, MD 21225
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
3001 S HANOVER ST, GRUEHN BLDG, STE 502
BALTIMORE, MD 21225

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 Dhiviya Tharmaratnam's NPI number?

The NPI number for Dhiviya Tharmaratnam is 1225489669. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Where is Dhiviya Tharmaratnam located?

Dhiviya Tharmaratnam practices at 3001 S Hanover St Department Of Medicine, Baltimore, MD 21225. The listed phone number is (999) 999-9999.

What is Dhiviya Tharmaratnam's specialty?

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

Is Dhiviya Tharmaratnam enrolled in Medicare?

Yes. Dhiviya Tharmaratnam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dhiviya Tharmaratnam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dhiviya Tharmaratnam reassigns Medicare benefits to Medstar Medical Group II LLC (Baltimore, MD). The 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 Dhiviya Tharmaratnam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dhiviya Tharmaratnam was last updated on May 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.