Active NPI
Cheruvari Sushil Chander, M.D.
- Pediatrics Physician
- Baltimore, MD
National Provider Identifier
1336100403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0034575
- Practice address
- 4660 Wilkens Ave
Suite 100
Baltimore, MD 21229-4848 - Phone
- (410) 247-0782
- Fax
- (410) 242-7819
- NPI assigned
- Mar 29, 2006
- 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 | D0034575 | MD | Primary |
Addresses
Primary practice location
4660 Wilkens Ave
Suite 100
Baltimore, MD 21229-4848
Mailing address
4660 Wilkens Ave
Suite 100
Baltimore, MD 21229-4848
Phone (410) 247-0782
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101216000432 | MD | Practitioner - Pediatric Medicine | 9638367782 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0034575 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Franklin Square Hospital Center, Inc. | Past | Accepting new patients | |
| Helixcare Medical Group, LLC | Past | Accepting new patients |
Locations
4660 Wilkens Ave
Ste 100
Baltimore, MD 21229
Phone (410) 247-0782
1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1336100403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4660 WILKENS AVE",
"address_2": "SUITE 100",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212294848",
"telephone_number": "410-247-0782",
"fax_number": "410-242-7819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 WILKENS AVE",
"address_2": "SUITE 100",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212294848",
"telephone_number": "410-247-0782",
"fax_number": "410-242-7819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDER",
"first_name": "CHERUVARI",
"middle_name": "SUSHIL",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0034575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.