Individual provider Active NPI

Haritha Pendli, MD

  • Hospitalist Physician
  • Lutherville, MD
National Provider Identifier
1275676934
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
D65718 Issued in MD
Practice address
1447 York Rd Ste 406
Lutherville, MD 21093-6057
Phone
(410) 343-3001
Fax
(410) 823-0015
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P18634 MD
Internal Medicine Physician 207R00000X D65718 MD
Hospitalist Physician 208M00000X D65718 MD Primary

Addresses

Primary practice location

1447 York Rd Ste 406
Lutherville, MD 21093-6057

Mailing address

1447 York Rd Ste 406
Lutherville, MD 21093-6057
Phone (410) 343-3001

Other practice location 1

2435 W Belvedere Ave
Suite 22
Baltimore, MD 21215-5224
Phone (410) 601-6840

Other identifiers 1

IdentifierTypeStateIssuer
412587800MedicaidMD

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
I20070924000114 MD Practitioner - Internal Medicine 0042304941 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P18634MDMDInternal Medicine Physician
D65718MDMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc Internal Medicine CurrentSince Sep 10, 2012 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Sep 10, 2012 Accepting new patients
Northwest Hospital Center, Inc. CurrentSince May 1, 2015 Accepting new patients
Northwest Hospital Center, Inc Internal Medicine CurrentSince May 1, 2015 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Northwest Hospital Center, Inc. Past Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632

312 Martin Luther King Jr Blvd
Ste 200
Baltimore, MD 21201
Phone (267) 648-5913

2435 W Belvedere Ave
Ste 22
Baltimore, MD 21215
Phone (410) 601-6340

1447 York Rd
Ste 406
Lutherville Timonium, MD 21093
Phone (410) 343-3001

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

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/136fea15-c667-40bc-9ed2-b1115d62123b/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1275676934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 YORK RD STE 406",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936057",
            "telephone_number": "410-343-3001",
            "fax_number": "410-823-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 YORK RD STE 406",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936057",
            "telephone_number": "410-343-3001",
            "fax_number": "410-823-0015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2435 W Belvedere Ave",
            "address_2": "Suite 22",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212155224",
            "country_code": "US",
            "telephone_number": "410-601-6840",
            "fax_number": "410-601-5789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENDLI",
        "first_name": "HARITHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "P18634",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D65718",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "D65718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412587800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.