Active NPI
Haritha Pendli, MD
- Hospitalist Physician
- Lutherville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- D65718
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 412587800 | Medicaid | MD |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P18634 | MD | MD | Internal Medicine Physician |
| D65718 | MD | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sinai Hospital of Baltimore Inc | Internal Medicine | Current | Accepting new patients |
| Sinai Hospital of Baltimore, Inc. | Current | Accepting new patients | |
| Northwest Hospital Center, Inc. | Current | Accepting new patients | |
| Northwest Hospital Center, Inc | Internal Medicine | Current | 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
- 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.
-
- Hospitalist Physician
- Randallstown, MD
- NPI 1508961988
Internal Medicine
-
- Surgical Critical Care Physician
- Baltimore, MD
- NPI 1043235666
-
- Acute Care Nurse Practitioner
- Randallstown, MD
- NPI 1235669599
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1255359782
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1285672204
-
- Pulmonary Disease Physician
- Randallstown, MD
- NPI 1740290980
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.