Elliott R Pearl, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0044703 Issued in MD

Practice address

203 Hospital Dr
Suite 200
Glen Burnie, MD 21061-6904

Phone

(410) 760-8840

Fax

(410) 760-7864

NPI assigned

Jul 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861490898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 HOSPITAL DR",
            "address_2": "SUITE 200",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616904",
            "telephone_number": "410-760-8840",
            "fax_number": "410-760-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 HOSPITAL DR",
            "address_2": "SUITE 200",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616904",
            "telephone_number": "410-760-8840",
            "fax_number": "410-760-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARL",
        "first_name": "ELLIOTT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0044703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "573141100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirubadas A Paul, OTR
• Miroslava Pavelova
• Lori Payne
• Pbal Group Services Inc.
• PD Optics Inc. T/a Pearle Vision Center
• Pediatric Dentistry and Orthodontics of Maryland LLC
• Aliyah Naomi Peels
• Kristen Miller Peichert, MD
• Elise Gayoso Penafiel, D.D.S.
• Jay B Penafiel, MD

• Specialist in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.