Prajwal Ciryam, M.D., PH.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

304671 Issued in NY

Practice address

622 W 168TH St
New York, NY 10032-3720

Phone

(212) 305-6262

NPI assigned

Feb 13, 2015

Last updated

Aug 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Specialty

Critical Care (Intensivists)

Education

Northwestern University Feinberg Medical School, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shock Trauma Associates PAGroup PAC ID 6800882317, 258 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002
• Umd Rehabilitation & Orthopaedic Institute Hospital, Baltimore, MD, CCN 210058

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pciryam927145@direct.umm.edu

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.

• Shock Trauma Associates, P.a.

  dba Shock Trauma Associates

  • Emergency Care Clinic/Center
  • Baltimore, MD
  • NPI 1679512909
  Medicare reassignment Care Compare group NPD
• Dimensions Healthcare Associates, Inc.

  dba PGHC Anesthesia Associates

  • Anesthesiology Physician
  • Largo, MD
  • NPI 1346354834

  DC

  Medicare reassignment NPD
• Dimensions Health Associates Dba University of Maryland Capital Region

  dba University of Maryland Capital Region Health Medical Group

  • Internal Medicine Physician
  • Oxon Hill, MD
  • NPI 1407486293

  Neurology

  NPD
• Dimensions Healthcare Associates Inc

  dba University of Maryland Capital Region Health Medical Group

  • Critical Care Medicine (Internal Medicine) Physician
  • Laurel, MD
  • NPI 1386706562
  NPD

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

• James Lawrence Kernan Hospital, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1841337805
  Care Compare affiliation
• University of Maryland Medical Center, LLC

  dba University of Maryland Medical Center

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1174660120
  Care Compare affiliation

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1124419049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-305-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-305-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRYAM",
        "first_name": "PRAJWAL",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-13",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "304671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R. Benyamin Cirlin, MSW
• Dianne Ciro, LCSW
• Thomas J Cirolia, LCSW
• Frank Cirrone, PHARMD
• Nicholas Cirrone Jr., MD
• Cis Counseling Center
• Cis Counseling Center Inc
• David H Cisewski, M.D.
• Sebastian Alfredo Cisneros Trujillo, M.D.
• Mariela Cisneros

• Neurology Physician in New York, NY
• Providers in New York, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.