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DR. AMBIKA J. LALL M.D.
NPI 1861830382
Pediatrics in Baltimore, MD

Active since June 06, 2013PECOS EnrolledAccepts Medicare Assignment
600 N WOLFE ST, BALTIMORE, MD 21264(410) 955-5080 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 2, 2024, Oct 17, 2018 (2 updates tracked since 2018).

About Dr. Ambika J. Lall M.d. NPPES

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

DR. AMBIKA J. LALL M.D. (NPI 1861830382) is an individual pediatrics provider in Baltimore, Maryland, licensed in Maryland (D89513) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Howard University College Of Medicine (2012).

NPPES Registry Identity

NPI1861830382
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. AMBIKA J. LALLCredential: M.D.
Location Address600 N WOLFE STBaltimore, MD 21264-1043
Mailing Address6201 Greenleigh AveBaltimore, MD 21220-2004 · (410) 933-6340
Phone(410) 955-5080
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2012
Enumeration DateJune 6, 2013
Last NPPES UpdateApril 2, 20242 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
✔ NPI 1861830382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in MD · D89513✔ Licensed in PA · MT204237✔ Licensed in PA · MD462078
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.
600 N WOLFE ST, Baltimore, MD 21264
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13601 A StPhiladelphia, PA 19134-1043 · Phone (215) 427-5127
Location 2101 Applied Bank Blvd Ste 11Glen Mills, PA 19342-3501 · Phone (484) 800-8630 · Fax (484) 800-8635

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ambika J. Lall M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143574004
PECOS Enrollment IDI20200826002924
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 Ambika Lall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Johns Hopkins University
17 mi
Emergency Medicine
5755 CEDAR LN
Columbia, MD 21044
  • Reassigned Medicare billing, Maryland enrollment
  • 25 clinicians in this Medicare group
NPI 1023772290 (410) 740-7777
Stc Pediatrics LLC
75 mi
Pediatric Gastroenterology
1020 GRINGS HILL RD
Reading, PA 19608
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 479 clinicians in this Medicare group
NPI 1225755952 (215) 427-6778

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21264 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
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.

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.

ISRAEL JESUS MENDEZ BERMUDEZ
Ophthalmology
600 N WOLFE ST
BALTIMORE, MD 21264
Baltimore City (410) 955-5080
SUZETTE IKEJIANI MD
Emergency Medicine
600 N WOLFE ST
BALTIMORE, MD 21264
Baltimore City (410) 955-5080
DR. CHRISTINE WANG MD
Ophthalmology (Cornea and External Diseases Specialist)
600 N WOLFE ST
BALTIMORE, MD 21264
Baltimore City (410) 955-5080
BANGCHEN WANG
Pathology (Anatomic Pathology & Clinical Pathology)
600 N WOLFE ST
BALTIMORE, MD 21264
Baltimore City (410) 955-5080
JACQUELINE KANE
Audiologist
600 N WOLFE ST
BALTIMORE, MD 21264
Baltimore City (410) 955-5080
REBECCA GORSKI AGACNP-BC
Nurse Practitioner (Acute Care)
600 N WOLFE ST
BALTIMORE, MD 21264
Baltimore City (410) 955-5080
DR. WILLIAM LEWIS VALENTINO MD, MS
Radiology (Diagnostic Radiology)
600 N WOLFE ST
BALTIMORE, MD 21264
Baltimore City (410) 955-5080
DR. SHAUN P HARTY M.D.
Emergency Medicine
600 N WOLFE ST
BALTIMORE, MD 21264
Baltimore City (410) 955-5080

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 Ambika Lall's NPI number?

The NPI number for Ambika Lall is 1861830382. It was assigned to this individual provider in the NPPES registry on June 6, 2013.

Where is Ambika Lall located?

Ambika Lall practices at 600 N Wolfe St, Baltimore, MD 21264. The listed phone number is (410) 955-5080.

What is Ambika Lall's specialty?

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

Is Ambika Lall enrolled in Medicare?

Yes. Ambika Lall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ambika Lall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ambika Lall reassigns Medicare benefits to 2 organizations: Johns Hopkins University (Columbia, MD) and Stc Pediatrics LLC (Reading, PA). 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 Ambika Lall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ambika Lall accept?

Health plans from AmeriHealth Caritas Next list Ambika Lall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ambika Lall was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.