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

AJAY BEHARI M.D.
NPI 1902992845
Internal Medicine - Pulmonary Disease in Baltimore, MD

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
9103 FRANKLIN SQUARE DR, 300, BALTIMORE, MD 21237(410) 682-5282(410) 682-5286 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 16, 2021, Jun 14, 2017 (2 updates tracked since 2017).

About Ajay Behari M.d. NPPES

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

AJAY BEHARI M.D. (NPI 1902992845) is an individual pulmonary disease provider in Baltimore, Maryland, licensed in Maryland (D64408) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Medstar Franklin Square Medical Center, and maintains a secondary practice location in Reston.

NPPES Registry Identity

NPI1902992845
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameAJAY BEHARICredential: M.D.
Location Address9103 FRANKLIN SQUARE DR, 300Baltimore, MD 21237-3900
Mailing Address501 Fairmount Ave Ste 103Towson, MD 21286-5457 · (410) 494-7921 · Fax (410) 902-8247
Phone(410) 682-5282
Fax(410) 682-5286
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 5, 2006
Last NPPES UpdateMarch 16, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2021
✔ NPI 1902992845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in MD · D64408
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License D64408 (MD)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License D64408 (MD)
Also ListedPsychiatry & Neurology · Sleep MedicineTaxonomy 2084S0012X · License D64408 (MD)
9103 FRANKLIN SQUARE DR, Baltimore, MD 21237
Open in Google Maps ↗

Secondary Practice Location 1

Location 11768 Business Center Dr Ste 100Reston, VA 20190-5359 · Phone (800) 762-9244 · Fax (786) 672-6006

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ajay Behari 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 ID3274530027
PECOS Enrollment IDI20061108000658
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.

Areas of Expertise CMS Part B claims 10

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
192 services102 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
128 services73 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
112 services74 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.
111 services99 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
106 services105 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
89 services88 patients

Hospital Affiliations CMS Care Compare 4

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

Medstar Franklin Square Medical Center

Acute Care Hospitals · Rosedale, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210015
Location9000 Franklin Square DriveRosedale, MD 21237 · Baltimore County
Emergency services Birthing friendly

Medstar Union Memorial Hospital

Acute Care Hospitals · Baltimore, MD
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210024
Location201 East University ParkwayBaltimore, MD 21218 · Baltimore City County
Emergency services

Medstar Harbor Hospital

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210034
Location3001 South Hanover StreetBaltimore, MD 21225 · Baltimore City County
Birthing friendly

Medstar Good Samaritan Hospital

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210056
Location5601 Loch Raven BoulevardBaltimore, MD 21239 · Baltimore City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21237 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

Referred Medical Equipment & Supplies CMS DME claims 24

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
13 suppliers275 claims275 services$35.00 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
14 suppliers184 claims184 services$79.70 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
14 suppliers176 claims464 services$30.36 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
15 suppliers123 claims675 services$16.79 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
11 suppliers102 claims573 services$13.04 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
16 suppliers240 claims240 services$47.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

TOTAL IMAGE CARE, INC
Prosthetic/Orthotic Supplier
9103 FRANKLIN SQUARE DR, SUITE 1700
BALTIMORE, MD 21237
Baltimore County (443) 777-6302
SARA ELIZABETH CANADA GUY PA-C
Physician Assistant (Medical)
9103 FRANKLIN SQUARE DR, SUITE 2200
BALTIMORE, MD 21237
Baltimore County (443) 777-7524
MRS. BRIDGET DONNELLY CRNP
Nurse Practitioner (Family)
9103 FRANKLIN SQUARE DR, #303
ROSEDALE, MD 21237
Baltimore County (443) 777-2475
DR. PHILIP JEFFREY FERRIS M.D.
Colon & Rectal Surgery
9103 FRANKLIN SQUARE DR, SUITE 307
BALTIMORE, MD 21237
Baltimore County (443) 777-6225
FRANKLIN SQUARE HOSPITAL CENTER INC
Internal Medicine (Gastroenterology)
9103 FRANKLIN SQUARE DR, SUITE 303
BALTIMORE, MD 21237
Baltimore County (443) 777-2475
CHIEDZA MUPANOMUNDA MD
Psychiatry & Neurology (Neurology)
9103 FRANKLIN SQUARE DR
BALTIMORE, MD 21237
Baltimore County (443) 777-7000
EDWARD C MCCARRON M.D.
Surgery
9103 FRANKLIN SQUARE DR, SUITE 2200
BALTIMORE, MD 21237
Baltimore County (443) 777-7911
DR. DANIEL LAWRENCE SHINNERS M.D.
Internal Medicine (Pulmonary Disease)
9103 FRANKLIN SQUARE DR, SUITE 300
BALTIMORE, MD 21237
Baltimore County (410) 682-5282

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 Behari's NPI number?

The NPI number for Ajay Behari is 1902992845. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Ajay Behari located?

Ajay Behari practices at 9103 Franklin Square Dr 300, Baltimore, MD 21237. The listed phone number is (410) 682-5282.

What is Ajay Behari's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Ajay Behari enrolled in Medicare?

Yes. Ajay Behari 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.

Is Ajay Behari affiliated with any hospitals?

According to CMS data, Ajay Behari is affiliated with Medstar Franklin Square Medical Center, Medstar Union Memorial Hospital, Medstar Harbor Hospital and Medstar Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Ajay Behari was last updated on March 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.