Individual provider Active NPI

Pamala Kanhai, MSN, FNP-C

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1780137877
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R200034 Issued in MD
Practice address
827 E Fort Ave
Baltimore, MD 21230-5117
Phone
(410) 493-3203
NPI assigned
Jul 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R200034 MD Primary

Addresses

Primary practice location

827 E Fort Ave
Baltimore, MD 21230-5117

Mailing address

827 E Fort Ave
Baltimore, MD 21230-5117
Phone (410) 493-3203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220919001864 DC Practitioner - Nurse Practitioner 4284019803 Reassigns benefits to 1 organization
I20220922003262 MD Practitioner - Nurse Practitioner 4284019803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

120 Sister Pierre Dr
Suite 303
Towson, MD 21204-7526
Phone (410) 337-9003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PK Gynecology and Aesthetics Family CurrentSince Jun 4, 2026 Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 14, 2024 Accepting new patients
Privia Medical Group, LLC Current Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 14, 2024 Accepting new patients
Integrated Wound Care Maryland LLC CurrentSince Jul 15, 2022 Accepting new patients
David M O'Neil MD PA Past Accepting new patients
Integrative Womens Care PC Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

3 Vale Rd
Bel Air, MD 21014
Phone (410) 220-6204

7520 Surratts Rd
Clinton, MD 20735
Phone (301) 856-1600

85 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 535-2300

120 Sister Pierre Dr
Ste 303
Towson, MD 21204
Phone (410) 337-9003

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • Direct secure messaging: pamala.kanhai.1@8042.direct.athenahealth.com

Organizations & group practices 7

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": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1780137877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 E FORT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305117",
            "telephone_number": "410-493-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 E FORT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305117",
            "telephone_number": "410-493-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANHAI",
        "first_name": "PAMALA",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R200034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.