Active NPI
Pankaj Kheterpal, M.D.
- Internal Medicine Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0060560
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801813746 | Other | MD | BRAVO HEALTH |
| N681-0001 | Other | DC | CAREFIRST |
| 300443355001 | Other | SC | HEALTHNET FEDERAL SERVICES - TRICARE |
| P00693651 | Other | GA | RAILROAD MEDICARE |
| 1026359400001 | Other | PA | MEDICAL ASSISTANCE |
| 618SZBQK | Other | MD | MEDICARE |
| 402778700 | Other | MD | MEDICAL 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charm City Healthcare, L.L.C. | Internal Medicine | Current | 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
- pkheterpal@crispdirect.org
- https://fhir4.healow.com/fhir/r4/AJEIDD
- 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.
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1538345046
-
- Primary Care Clinic/Center
- Dundalk, MD
- NPI 1285443689
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1700774536
-
dba Franklin Woods Center
- Skilled Nursing Facility
- Baltimore, MD
- NPI 1558318386
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1184712085
-
dba Franklin Woods Center
- Skilled Nursing Facility
- Baltimore, MD
- NPI 1558318386
Nursing home
-
dba MedStar Health Home Care
- Home Health Agency
- Baltimore, MD
- NPI 1790899524
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.