Active NPI
Mohan Kumar Thummalapalli, M.D.
- Pediatrics Physician
- Salisbury, MD
National Provider Identifier
1124109855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0064884
- Practice address
- 106 Milford St Ste 201
Salisbury, MD 21804-6959 - Phone
- (410) 543-1616
- Fax
- (410) 543-8497
- NPI assigned
- Oct 18, 2006
- Last updated
- Mar 1, 2013
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0064884 | MD | Primary |
Addresses
Primary practice location
106 Milford St Ste 201
Salisbury, MD 21804-6959
Mailing address
106 Milford St
Suite 201
Salisbury, MD 21804-6953
Phone (410) 543-1616
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 054635 | Other | JHHC | |
| 111920574 | Other | TRICARE STANDARD | |
| 119591300 | Medicaid | MD | |
| 309272 | Other | ANTHEM POCOMOKE | |
| 309269 | Other | ANTHEM PRINCESS ANNE | |
| 521860379 | Other | INFORMED | |
| 2175061 | Other | MAMSI | |
| 119591300 | Other | MD PHYSICIANS CARE | |
| 309273 | Other | ANTHEM SALISBURY | |
| E1540045 | Other | CAREFIRST BLUE CHOICE | |
| 521860379 | Other | GREAT WEST | |
| 521860379 | Other | HUMANA | |
| 521860379 | Other | COVENTRY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0064884 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesapeake Pediatric & Adolescent Associates, PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Adolescent Medicine Physician
- Salisbury, MD
- NPI 1699894857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362096000000",
"number": "1124109855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 MILFORD ST",
"address_2": "SUITE 201",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218046953",
"telephone_number": "410-543-1616",
"fax_number": "410-543-8497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 MILFORD ST STE 201",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218046959",
"telephone_number": "410-543-1616",
"fax_number": "410-543-8497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THUMMALAPALLI",
"first_name": "MOHAN",
"middle_name": "KUMAR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2013-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0064884",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JHHC",
"identifier": "054635",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE STANDARD",
"identifier": "111920574",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119591300",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM POCOMOKE",
"identifier": "309272",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PRINCESS ANNE",
"identifier": "309269",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INFORMED",
"identifier": "521860379",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2175061",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD PHYSICIANS CARE",
"identifier": "119591300",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM SALISBURY",
"identifier": "309273",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUE CHOICE",
"identifier": "E1540045",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "521860379",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "521860379",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "521860379",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, MD
- Three Lower Counties Community Services, Inc. (Chesapeake Health Care)
- Three Lower Counties Community Services, Inc. (Chesapeake Health Care)
- Three Lower Counties Community Services, Inc. (Chesapeake Health Care)
- Thrift Drug Inc (Rite Aid Pharmacy 11219)
- Nikkia Thrush
- Melik Tiba, MD
- Tidal Consulting & Therapy
- Tidalhealth Peninsula Regional, Inc.
- Tidalhealth Peninsula Regional, Inc.
- Tidalhealth Peninsula Regional, Inc. (TidalHealth Covid Infusion Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.