Individual provider Active NPI

Pramila N Jaladanki, CRNP

  • Hospitalist Physician
  • Columbia, MD
National Provider Identifier
1053834069
Registry record updated Sep 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
R163269 Issued in MD
Practice address
5755 Cedar LN
Columbia, MD 21044-2912
Phone
(410) 740-7890
NPI assigned
Jul 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R163269 MD
Hospitalist Physician 208M00000X R163269 MD Primary

Addresses

Primary practice location

5755 Cedar LN
Columbia, MD 21044-2912

Mailing address

5755 Cedar LN
Columbia, MD 21044-2912
Phone (410) 740-7890

Other identifiers 1

IdentifierTypeStateIssuer
R163269MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171023000764 DC Practitioner - Nurse Practitioner 1254607013 Reassigns benefits to 3 organizations
I20171023001118 MD Practitioner - Nurse Practitioner 1254607013 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mep Observation Services LLCGroup PAC ID 2365611845, 42 clinicians

Practice addresses (Care Compare)

5401 Old Court Rd
Randallstown, MD 21133-5103
Phone (410) 521-2200

Hospital & facility affiliations

  • Northwest Hospital Center Hospital, Randallstown, MD, CCN 210040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R163269MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mdics at BWMC LLC Hospitalist CurrentSince Feb 28, 2023 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince May 6, 2019 Accepting new patients
Mep Observation Services LLC CurrentSince Sep 21, 2020 Accepting new patients
M Medical Group, Inc. CurrentSince Mar 2, 2023 Accepting new patients
Mep Health, LLC CurrentSince Apr 1, 2023 Accepting new patients
M Medical Group, Inc. CurrentSince Mar 2, 2023 Accepting new patients
Mep Observation Services LLC CurrentSince Sep 21, 2020 Accepting new patients
Usacs Integrated Acute Care Services of Maryland, LLC CurrentSince Jun 1, 2020 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince May 6, 2019 Accepting new patients
M Medical Group, Inc. Current Accepting new patients

Locations

22 S Athol Ave
Baltimore, MD 21229
Phone (410) 566-5015

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

1 Price Dr
Elkton, MD 21921
Phone (410) 398-6474

30 North Pl
Frederick, MD 21701
Phone (301) 695-6618

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

4409 East West Hwy
Riverdale Park, MD 20737
Phone (301) 699-2000

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Interoperability endpoints

  • Direct secure messaging: pjaladanki1016919@direct.umm.edu

Organizations & group practices 10

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 1

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": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505779200000",
    "number": "1053834069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 CEDAR LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442912",
            "telephone_number": "410-740-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 CEDAR LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442912",
            "telephone_number": "410-740-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALADANKI",
        "first_name": "PRAMILA",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2017-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R163269",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "R163269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R163269",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.