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AJAY KOLLI MD
NPI 1396494118
Ophthalmology in Baltimore, MD

Active since March 20, 2022PECOS Enrolled
4940 EASTERN AVE, BALTIMORE, MD 21224(410) 550-5568 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 28, 2026, May 21, 2026 (2 updates tracked since 2026).

About Ajay Kolli Md NPPES

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

AJAY KOLLI MD (NPI 1396494118) is an individual ophthalmology provider in Baltimore, Maryland, licensed in Maryland (D0106518) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (2022).

NPPES Registry Identity

NPI1396494118
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameAJAY KOLLICredential: MD
Location Address4940 EASTERN AVEBaltimore, MD 21224-2735
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 955-5000 · Fax (410) 500-4266
Phone(410) 550-5568
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2022
Enumeration DateMarch 20, 2022
Last NPPES UpdateMay 28, 20262 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1396494118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MD · D0106518
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
4940 EASTERN AVE, Baltimore, MD 21224
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ajay Kolli Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062862543
PECOS Enrollment IDI20260615000136
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 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
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. SUSRUTHA KOTWAL MD
Internal Medicine
4940 EASTERN AVE, MFL BLDG, WEST TOWER, 6TH FLOOR
BALTIMORE, MD 21224
Baltimore City (410) 550-5018
DR. SAMANTHA A WOLFE MD
Otolaryngology
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-2370
MARK MILEY PA-C
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-9227
REID C. WILKINS MD
Pathology (Anatomic Pathology & Clinical Pathology)
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-5568
DEREK MASON MD, MPH
Student in an Organized Health Care Education/Training Program
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-0100
RUCHITA SUDHIR PENDSE MD
Obstetrics & Gynecology
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-5568
VIVIANA KATHERINE PEARSON NEONATAL NURSE PRACT
Registered Nurse (Neonatal Intensive Care)
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (443) 297-7701
BRUCE ROBERT GIBSON M.D.
Surgery
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-0100

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 Ajay Kolli's NPI number?

The NPI number for Ajay Kolli is 1396494118. It was assigned to this individual provider in the NPPES registry on March 20, 2022.

Where is Ajay Kolli located?

Ajay Kolli practices at 4940 Eastern Ave, Baltimore, MD 21224. The listed phone number is (410) 550-5568.

What is Ajay Kolli's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Ajay Kolli enrolled in Medicare?

Yes. Ajay Kolli is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ajay Kolli was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.