Sundaram Krishnan Chettiar, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

D79893 Issued in MD

Practice address

3449 Wilkens Ave Ste 300
Baltimore, MD 21229-5218

Phone

(667) 234-2922

Fax

(667) 234-9997

NPI assigned

May 6, 2011

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• St Agnes Healthcare Inc

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1144250176
  Medicare reassignment NPD
• St Agnes Healthcare Inc

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1780615922
  NPD

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1497047641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3449 WILKENS AVE STE 107",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295216",
            "telephone_number": "667-234-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 WILKENS AVE STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295218",
            "telephone_number": "667-234-2922",
            "fax_number": "667-234-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHETTIAR",
        "first_name": "SUNDARAM",
        "middle_name": "KRISHNAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-06",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MD",
            "license": "D79893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeneva Chester
• Dennis Chestnut
• Jessica Christine Hall Chestnut
• Mutinta Chestnut, PMHNP
• Monica Danielle Chetelat, PA-C
• Jennifer Chetty, RD LDN
• Carmen Cheung
• Kristin Cheung, M.D.
• Morgan Cheung, MS, RDN, LD
• Nora Ham-Ting Cheung, MD

• Pain Medicine (Anesthesiology) Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Pain Medicine (Anesthesiology) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.

Verify at the official NPI Registry.