Individual provider Active NPI

Sumanth Cherukumilli, MD

  • Pediatric Infectious Diseases Physician
  • Baltimore, MD
National Provider Identifier
1669034591
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
D0095961 Issued in MD
Practice address
2411 W Belvedere Ave Ste 402
Baltimore, MD 21215-5231
Phone
(410) 601-9627
NPI assigned
Jul 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X D0095961 MD Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2411 W Belvedere Ave Ste 402
Baltimore, MD 21215-5231

Mailing address

2411 W Belvedere Ave Ste 402
Baltimore, MD 21215-5231
Phone (410) 601-9627

Other practice location 1

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5267

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260102000612 MD Practitioner - Pediatric Medicine 1254708795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 Memorial Ave
Westminster, MD 21157-5797

2411 W Belvedere Ave
Baltimore, MD 21215-5228

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0095961MDMDPediatric Infectious Diseases Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc CurrentSince Jan 7, 2026 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jan 7, 2026 Accepting new patients
Sinai Hospital of Baltimore Inc Past Accepting new patients

Locations

2411 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 601-5700

2411 W Belvedere Ave
Ste 402
Baltimore, MD 21215
Phone (410) 601-8314

5101 Lanier Ave
Baltimore, MD 21215
Phone (410) 542-7800

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.

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1669034591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 W BELVEDERE AVE STE 402",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155231",
            "telephone_number": "410-601-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 W BELVEDERE AVE STE 402",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155231",
            "telephone_number": "410-601-9627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "544495703",
            "country_code": "US",
            "telephone_number": "715-387-5267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERUKUMILLI",
        "first_name": "SUMANTH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-01",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "MD",
            "license": "D0095961",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.