Individual provider Active NPI

Pankaj Kheterpal, M.D.

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1801813746
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0060560 Issued in MD
Practice address
120 Eastern Blvd
Baltimore, MD 21221-7020
Phone
(410) 687-8818
Fax
(410) 682-3989
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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 D0060560 MD Primary

Addresses

Primary practice location

120 Eastern Blvd
Baltimore, MD 21221-7020

Mailing address

20 Hickory Knoll CT
Timonium, MD 21093-4745
Phone (410) 687-8818

Other identifiers 7

IdentifierTypeStateIssuer
1801813746OtherMDBRAVO HEALTH
N681-0001OtherDCCAREFIRST
300443355001OtherSCHEALTHNET FEDERAL SERVICES - TRICARE
P00693651OtherGARAILROAD MEDICARE
1026359400001OtherPAMEDICAL ASSISTANCE
618SZBQKOtherMDMEDICARE
402778700OtherMDMEDICAL ASSISTANCE

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
I20040219000956 MD Practitioner - Internal Medicine 0143115956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charm City Healthcare LLCGroup PAC ID 0547320822, 5 clinicians

Practice addresses (Care Compare)

120 Eastern Blvd
Suite 122
Essex, MD 21221-7020
Phone (410) 687-8818

2 Market PL
Dundalk, MD 21222-4351
Phone (410) 687-8818

223 Eastern Blvd
Baltimore, MD 21221-6936
Phone (410) 687-8818

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charm City Healthcare, L.L.C. Internal Medicine CurrentSince Oct 31, 2008 Accepting new patients
Charm City Healthcare, L.L.C. Past Accepting new patients
Charm City Healthcare, L.L.C. Internal Medicine Past Accepting new patients
Franklin Square-Meridian Healthcare Nursing Home LTD Partnership Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1576 Merritt Blvd
Ste 15
Dundalk, MD 21222
Phone (410) 285-8787

120 Eastern Blvd
Essex, MD 21221
Phone (410) 687-8818

120 Eastern Blvd
Ste 122
Essex, MD 21221
Phone (410) 687-8818

223 Eastern Blvd
Essex, MD 21221
Phone (410) 284-2400

Interoperability endpoints

  • Direct secure messaging: pkheterpal@crispdirect.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/AJEIDD
  • Direct secure messaging: pankaj.kheterpal@3977.securemail.prognocis.com

Organizations & group practices 5

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 4

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1801813746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HICKORY KNOLL CT",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210934745",
            "telephone_number": "410-687-8818",
            "fax_number": "410-682-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EASTERN BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212217020",
            "telephone_number": "410-687-8818",
            "fax_number": "410-682-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHETERPAL",
        "first_name": "PANKAJ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0060560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAVO HEALTH",
            "identifier": "1801813746",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "N681-0001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET FEDERAL SERVICES - TRICARE",
            "identifier": "300443355001",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00693651",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "1026359400001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "618SZBQK",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "402778700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.