Pavani Adusumilli, M.B.B.S
Individual provider Active NPI Family Medicine Physician · Linthicum Heights, MD
NPI 1568624955 · NPPES record last updated Jun 27, 2024
Key facts
- NPI
- 1568624955
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- D0080803 (MD)
- Practice address
- 785 Elkridge Landing Rd Ste 300
Linthicum Heights, MD 21090-2958 - Phone
- (443) 323-3014
- Fax
- (855) 212-5249
- NPI assigned
- Jun 27, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthdrive Medical Services PC
Practice addresses (Care Compare)
12325 New Hampshire Ave
Silver Spring, MD 20904-2957
Phone (888) 964-6681
6700 Alexander Bell Dr
Suite 200
Columbia, MD 21046-2105
Phone (888) 964-6681
Hospital & facility affiliations
- Bridginglife, Inc.
- Gilchrist Hospice Care, Inc
- Lorien Health Systems Mt Airy
- Willowbrooke Court Skilled Care Center Fairhaven
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.12 of 100
- Quality
- 78.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.78
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160129000826 | DC | Practitioner - Family Practice | 1052575511 | Reassigns benefits to 3 organizations |
| I20160203002030 | MD | Practitioner - Family Practice | 1052575511 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0080803 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthdrive Medical Services Southeast LLC | Family Medicine | Current |
Accepting new patients |
| Five Star Physician Services, LLC | Family Medicine | Current |
Accepting new patients |
| Healthdrive Medical Services, PC | Family Medicine | Current |
Accepting new patients |
| Carenet Health Systems & Services, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1300 I St NW
Ste 400E
Washington, DC 20005
Phone (202) 902-7324
8700 Jones Mill Rd
Chevy Chase, MD 20815
Phone (301) 350-5555
6700 Alexander Bell Dr
Ste 200
Columbia, MD 21046
Phone (201) 581-3411
785 Elkridge Landing Rd
Ste 300
Linthicum Heights, MD 21090
Phone (443) 323-3014
12325 New Hampshire Ave
Silver Spring, MD 20904
Phone (301) 622-4600
7200 Third Ave
Ste 1000
Sykesville, MD 21784
Phone (410) 795-8800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0080803 | MD | Yes |
Addresses
Primary practice location
785 Elkridge Landing Rd Ste 300
Linthicum Heights, MD 21090-2958
Mailing address
785 Elkridge Landing Rd Ste 300
Linthicum Heights, MD 21090-2958
Phone (443) 323-3014
Other providers in Linthicum Heights, MD
- A Better You Healthcare Group
- A Better You Healthcare Group LLC
- Jamie Abel
- Faith Adebule
- Diana S Akinsoyinu
- Salman Ali
- Alva Services L.L.C.
- Ambumed Inc.
- Applied Medical Management Services LLC
All providers in Linthicum Heights, MD · Family Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.