Active NPI
David B Pruitt, M.D.
- Psychiatry Physician
- Baltimore, MD
National Provider Identifier
1023022829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D0055948
- Practice address
- 701 W Pratt St
4TH Floor
Baltimore, MD 21201-1023 - Phone
- (410) 328-5881
- Fax
- (410) 328-5882
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D0055948 | MD | Primary |
Addresses
Primary practice location
701 W Pratt St
4TH Floor
Baltimore, MD 21201-1023
Mailing address
PO Box 64515
Baltimore, MD 21264-4515
Phone (410) 328-5881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135500700 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0055948 | MD | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Psychiatry Associates PA | Past | Accepting new patients | |
| University of Maryland Psychiatry Associates, PA | Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Child & Adolescent Psychiatry Physician
- Baltimore, MD
- NPI 1992712897
-
- Psychiatry Physician
- Baltimore, MD
- NPI 1649292699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432684800000",
"number": "1023022829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64515",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644515",
"telephone_number": "410-328-5881",
"fax_number": "717-428-0518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W PRATT ST",
"address_2": "4TH FLOOR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011023",
"telephone_number": "410-328-5881",
"fax_number": "410-328-5882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUITT",
"first_name": "DAVID",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2015-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0055948",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135500700",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.