Organization Active NPI

Charm City Medical Center

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1871165092
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHARM CITY MEDICAL CENTER
Practice address
2220 Reisterstown Rd
Baltimore, MD 21217-1928
Phone
(301) 675-1296
Fax
(443) 535-0773
NPI assigned
Jul 15, 2021
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Dr. Devesh Dhruva Kanjarpane, MDNPI 1548418726
Title
Chief Medical Officer
Phone
(301) 646-3279

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

2220 Reisterstown Rd
Baltimore, MD 21217-1928

Mailing address

6041 Winter Grain Path
Clarksville, MD 21029-1224
Phone (301) 646-3279

Other names 1

  • Charm City Behavioral Health Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2291469Charm City Medical Center Inc2220 Reisterstown Rd, Baltimore, MD 21217Certificate of waiverOct 10, 2027

National Provider Directory

National Provider Directory
Tax ID family
Charm City Behavioral Health8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2220 Reisterstown Rd
Ste B
Baltimore, MD 21217

Ownership & related parties

Subparts reporting this organization as parent 7

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1871165092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 WINTER GRAIN PATH",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291224",
            "telephone_number": "301-646-3279",
            "fax_number": "443-535-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 REISTERSTOWN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212171928",
            "telephone_number": "301-675-1296",
            "fax_number": "443-535-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARM CITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2025-09-02",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "KANJARPANE",
        "authorized_official_first_name": "DEVESH",
        "authorized_official_middle_name": "DHRUVA",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "301-646-3279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charm City Behavioral Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.