1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Internal Medicine
  6. NPI Profile

DR. PALLAVI PULLATIKURTHI KUMAR M.D.
NPI 1407899578
Internal Medicine - Hematology & Oncology in Baltimore, MD

Active since June 14, 2006PECOS Enrolled
76.58/100
CMS Quality Rating
2401 W BELVEDERE AVE, BALTIMORE, MD 21215(410) 601-4710(410) 601-8526 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 7, 2022, Sep 22, 2021, Sep 10, 2021 (3 updates tracked since 2021).

About Dr. Pallavi Pullatikurthi Kumar M.d. NPPES

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

DR. PALLAVI PULLATIKURTHI KUMAR M.D. (NPI 1407899578) is an individual hematology & oncology provider in Baltimore, Maryland, licensed in Maryland (D0057256) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Sinai Hospital Of Baltimore, and maintains a secondary practice location in Randallstown.

NPPES Registry Identity

NPI1407899578
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. PALLAVI PULLATIKURTHI KUMARCredential: M.D.
Location Address2401 W BELVEDERE AVEBaltimore, MD 21215-5216
Mailing Address2401 W Belvedere AveBaltimore, MD 21215-5216 · (410) 601-4710 · Fax (410) 601-8526
Phone(410) 601-4710
Fax(410) 601-8526
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 1998
Enumeration DateJune 14, 2006
Last NPPES UpdateApril 7, 20223 updates tracked since enumeration
NPPES CertifiedApril 7, 2022
✔ NPI 1407899578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in MD · D0057256
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
2401 W BELVEDERE AVE, Baltimore, MD 21215
Open in Google Maps ↗

Secondary Practice Location 1

Location 15401 Old Court RdRandallstown, MD 21133-5103 · Phone (410) 521-2200

Other Identifiers 3

OtherC31152MD · R/r Medicare Group #
OtherP00198858MD · R/r Medicare Provider #
Medicaid406533600MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pallavi Pullatikurthi Kumar M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284685454
PECOS Enrollment IDI20050204000196
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 Reassignments

2

Medicare enrollment records show Pallavi Kumar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sinai Hospital Of Baltimore Inc
Same address
Surgical Critical Care
2401 W BELVEDERE AVE
Baltimore, MD 21215
  • Reassigned Medicare billing, Maryland enrollment
  • 664 clinicians in this Medicare group
NPI 1043235666 (410) 601-5524
Northwest Hospital Center, Inc
6.4 mi
Surgery of the Hand
5401 OLD COURT RD
Randallstown, MD 21133
  • Reassigned Medicare billing, Maryland enrollment
  • 194 clinicians in this Medicare group
NPI 1982708228 (410) 521-2200

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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
292 services87 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
160 services84 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
55 services17 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
44 services44 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Sinai Hospital Of Baltimore

Acute Care Hospitals · Baltimore, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210012
Location2401 West Belvedere AvenueBaltimore, MD 21215 · Baltimore City County
Emergency services Birthing friendly

Carroll Hospital Center

Acute Care Hospitals · Westminster, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210033
Location200 Memorial AvenueWestminster, MD 21157 · Carroll County
Emergency services Birthing friendly

Northwest Hospital Center

Acute Care Hospitals · Randallstown, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210040
Location5401 Old Court RoadRandallstown, MD 21133 · Baltimore 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
$183.44 typical visit price
range $60.73 – $183.44
Typical copayment $45.86 (range $15.18 – $45.86)
Most-billed visit code 99205
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.

76.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.56
Promoting Interoperability100
Improvement Activities40
Cost48.54

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
ELIZABETH MINH-ANN PHAM MD
Anesthesiology
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Baltimore City (804) 898-0825
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 Pallavi Kumar's NPI number?

The NPI number for Pallavi Kumar is 1407899578. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Pallavi Kumar located?

Pallavi Kumar practices at 2401 W Belvedere Ave, Baltimore, MD 21215. The listed phone number is (410) 601-4710.

What is Pallavi Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Pallavi Kumar enrolled in Medicare?

Yes. Pallavi Kumar is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Pallavi Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pallavi Kumar reassigns Medicare benefits to 2 organizations: Sinai Hospital Of Baltimore Inc (Baltimore, MD) and Northwest Hospital Center, Inc (Randallstown, MD). Each 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 Pallavi Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Pallavi Kumar affiliated with any hospitals?

According to CMS data, Pallavi Kumar is affiliated with Sinai Hospital Of Baltimore, Carroll Hospital Center and Northwest Hospital Center.

When was this NPI record last updated?

The NPPES record for Pallavi Kumar was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.