Baltimore Oncology Hematology Associates LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

BK7654076 Issued in MD

Legal business name

BALTIMORE ONCOLOGY HEMATOLOGY ASSOCIATES LLC

Practice address

821 N Eutaw St Ste 206
Baltimore, MD 21201-6302

Phone

(410) 246-4450

Fax

(410) 617-8326

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Kavita KalraNPI 1063495232

Title

President

Phone

(240) 338-7472

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kavita B Kalra, M.D.

  • Hematology & Oncology Physician
  • Baltimore, MD
  • NPI 1063495232
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1598972259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5118 HOLLY CREEK LN",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291191",
            "telephone_number": "240-338-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N EUTAW ST STE 206",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212016302",
            "telephone_number": "410-246-4450",
            "fax_number": "410-617-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE ONCOLOGY HEMATOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "KALRA",
        "authorized_official_first_name": "KAVITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-338-7472"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "BK7654076",
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BCBS OF DC",
            "identifier": "K965",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "510806300",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MARYLAND",
            "identifier": "368CBA",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.