Individual provider Active NPI

Paul Panavelil, MD

  • Internal Medicine Physician
  • Camp Springs, MD
National Provider Identifier
1730192998
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0042372 Issued in MD
Practice address
5801 Allentown Rd Ste 400
Camp Springs, MD 20746-4585
Phone
(301) 868-0150
Fax
(301) 868-0243
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0042372 MD Primary

Addresses

Primary practice location

5801 Allentown Rd Ste 400
Camp Springs, MD 20746-4585

Mailing address

8116 Good Luck Rd
Ste 305
Lanham, MD 20706-3502
Phone (301) 552-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20100316000337 DC Practitioner - Internal Medicine 8527193598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern Maryland Medical Group LLCGroup PAC ID 5395893655, 21 clinicians

Practice addresses (Care Compare)

5801 Allentown Rd
Suite 400
Camp Springs, MD 20746-4585
Phone (301) 868-0150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87 of 100Reported as group
Quality
86.7
Promoting interoperability
99
Improvement activities
40
Cost
70.8

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Maryland Medical Group LLC Internal Medicine CurrentSince Apr 20, 2015 Accepting new patients
Dimensions Health Corporation Past Accepting new patients

Locations

5801 Allentown Rd
Ste 400
Camp Springs, MD 20746
Phone (301) 868-0150

5801 Allentown Rd
Ste 100
Camp Springs, MD 20746

7500 Greenway Center Dr
Ste 1200
Greenbelt, MD 20770
Phone (301) 486-7580

8116 Good Luck Rd
Ste 305
Lanham, MD 20706
Phone (301) 486-7580

Interoperability endpoints

  • Direct secure messaging: panavelil.paul.004.0200024@smmg.meditab.direct-ci.com

Organizations & group practices 2

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 2

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730192998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8116 GOOD LUCK RD",
            "address_2": "STE 305",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063502",
            "telephone_number": "301-552-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 ALLENTOWN RD STE 400",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207464585",
            "telephone_number": "301-868-0150",
            "fax_number": "301-868-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANAVELIL",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0042372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Springs, MD

Sources for this page

Verify at the official NPI Registry.