Individual provider Active NPI

Charmian D Sittambalam, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Baltimore, MD
National Provider Identifier
1013208461
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
D0079068 Issued in MD
Practice address
9000 Franklin Square Dr
Department of Internal Medicine
Baltimore, MD 21237-3901
Phone
(443) 777-7155
Fax
(443) 777-8877
NPI assigned
Apr 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X D0079068 MD Primary

Addresses

Primary practice location

9000 Franklin Square Dr
Department of Internal Medicine
Baltimore, MD 21237-3901

Mailing address

9000 Franklin Square Dr
Department of Internal Medicine
Baltimore, MD 21237-3901
Phone (443) 777-7155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151123002557 MD Practitioner - Geriatric MedicinePractitioner - Internal Medicine 0749580728 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saluja Medical Associates 15 clinicians

Practice addresses (Care Compare)

6821 Reisterstown Rd
Suite 106
Baltimore, MD 21215-1434
Phone 4103586450709

Hospital & facility affiliations

  • Homecare Maryland, LLC Home health agency, Owings Mills, MD, CCN 217107
  • Medstar Health Home Care Home health agency, Baltimore, MD, CCN 217068
  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0079068MDMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2021 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2021 Accepting new patients
Saluja Medical Associates CurrentSince Nov 7, 2023 Accepting new patients
Saluja Medical Associates 2 CurrentSince Feb 1, 2024 Accepting new patients

Locations

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

733 W 40th St
Fl 2
Baltimore, MD 21211
Phone (410) 358-6450

6821 Reisterstown Rd
Ste 106
Baltimore, MD 21215
Phone (410) 358-6450

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

733 W 40th St
Ste 200
Baltimore, MD 21211
Phone (410) 358-6450

700 W 40th St
Baltimore, MD 21211
Phone (410) 235-8860

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1013208461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 FRANKLIN SQUARE DR",
            "address_2": "DEPARTMENT OF INTERNAL MEDICINE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373901",
            "telephone_number": "443-777-7155",
            "fax_number": "443-777-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 FRANKLIN SQUARE DR",
            "address_2": "DEPARTMENT OF INTERNAL MEDICINE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373901",
            "telephone_number": "443-777-7155",
            "fax_number": "443-777-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITTAMBALAM",
        "first_name": "CHARMIAN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "D0079068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.