DR. COZUMEL SOUTHERN PRUETTE MD, MHS
NPI 1295887750
Pediatrics - Pediatric Nephrology in Baltimore, MD
About Dr. Cozumel Southern Pruette Md, Mhs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. COZUMEL SOUTHERN PRUETTE MD, MHS (NPI 1295887750) is an individual pediatric nephrology provider in Baltimore, Maryland, licensed in Maryland (D67656) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Southern Illinois University School Of Medicine (2005).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
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. Cozumel Southern Pruette Md, Mhs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Johns Hopkins Hospital, The
Acute Care Hospitals · Baltimore, MDMedicare 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.
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.
BALTIMORE, MD 21287
BALTIMORE, MD 21287
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 Cozumel Pruette's NPI number?
The NPI number for Cozumel Pruette is 1295887750. It was assigned to this individual provider in the NPPES registry on January 17, 2007. The provider is also known as Dr. Cozumel Allyson Southern.
Where is Cozumel Pruette located?
Cozumel Pruette practices at 200 N Wolfe St Room 3055, Baltimore, MD 21287. The listed phone number is (410) 955-2467.
What is Cozumel Pruette's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.
Is Cozumel Pruette enrolled in Medicare?
Yes. Cozumel Pruette is registered in the Medicare PECOS enrollment system.
Is Cozumel Pruette affiliated with any hospitals?
According to CMS data, Cozumel Pruette is affiliated with Johns Hopkins Hospital, The.
When was this NPI record last updated?
The NPPES record for Cozumel Pruette was last updated on March 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Cozumel Southern Pruette, MD, MHS · NPI 1295887750
Pediatric Nephrology physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since January 17, 2007.
## Identity
- **NPI:** 1295887750 (Entity type: Individual)
- **Enumerated:** January 17, 2007
- **Primary specialty:** Pediatrics - Pediatric Nephrology · taxonomy 2080P0210X
- **State license:** D67656 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 N WOLFE ST, ROOM 3055, Baltimore, MD 21287-0011
- **Phone:** (410) 955-2467
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Southern Illinois University School Of Medicine, class of 2005
## Record status
- **NPPES last updated:** March 1, 2013
- **Other identifiers:** Medicare PIN 242766YX1 (MD); Medicaid 055174100 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1295887750) · Data from the CMS NPPES public registry.