Individual provider Active NPI

Aneesh Krishna Pirlamarla, MD

  • Radiation Oncology Physician
  • Philadelphia, PA
National Provider Identifier
1659831949
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MT220450 Issued in PA
Practice address
333 Cottman Ave
Philadelphia, PA 19111-2497
Phone
(888) 369-2427
NPI assigned
Mar 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Radiation Oncology Physician 2085R0001X MT220450 PA Primary

Addresses

Primary practice location

333 Cottman Ave
Philadelphia, PA 19111-2497

Mailing address

9 N 9TH St Unit 708
Philadelphia, PA 19107-3156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240713000026 MD Practitioner - Radiation Oncology 7618412743 Reassigns benefits to 1 organization
I20240924002404 DC Practitioner - Radiation Oncology 7618412743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Albert Einstein College of Medicine of Yeshiva University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associates in Radiation Medicine, PCGroup PAC ID 6204826332, 12 clinicians

Practice addresses (Care Compare)

11340 Pembrooke SQ
Suite 201
Waldorf, MD 20603-4808
Phone (301) 705-5802

30077 Business Ctr Dr
Charlotte Hall, MD 20622-3101
Phone (301) 884-2508

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT220450PAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Radiation Medicine, PC Radiation Oncology CurrentSince Jun 15, 2024 Accepting new patients

Locations

30077 Business Center Dr
Charlotte Hall, MD 20622
Phone (301) 884-2508

2121 Medical Park Dr
Ste 4
Silver Spring, MD 20902
Phone (301) 681-4422

11340 Pembrooke Sq
Ste 201
Waldorf, MD 20603
Phone (301) 705-5802

Interoperability endpoints

  • Direct secure messaging: apirlamarla1171796@direct.umm.edu

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1659831949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 N 9TH ST UNIT 708",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191073156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112497",
            "telephone_number": "888-369-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRLAMARLA",
        "first_name": "ANEESH",
        "middle_name": "KRISHNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MT220450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.