Individual provider Active NPI

Sivarama Prasad Sompalli, MD

  • Surgery Physician
  • Reisterstown, MD
National Provider Identifier
1922028307
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0016163 Issued in MD
Practice address
2222 Ridge Rd
Reisterstown, MD 21136-5625
Phone
(410) 225-8000
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D0016163 MD Primary

Addresses

Primary practice location

2222 Ridge Rd
Reisterstown, MD 21136-5625

Mailing address

2222 Ridge Rd
Reisterstown, MD 21136-5625
Phone (410) 225-8000

Other identifiers 1

IdentifierTypeStateIssuer
973761800MedicaidMD

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
I20101020000189 MD Practitioner - General Surgery 9133312382 Reassigns benefits to 3 organizations
Practice locations: Rosedale, MD

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

827 Linden Ave
Baltimore, MD 21201-4606

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0016163MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Medical Center, Inc. CurrentSince Jan 22, 2019 Accepting new patients
Grace Medical Center, Inc. CurrentSince Jan 22, 2019 Accepting new patients
Maryland General Clinical Practice Group, Inc. CurrentSince Aug 12, 2019 Accepting new patients
Maryland General Clinical Practice Group, Inc. CurrentSince Aug 12, 2019 Accepting new patients

Locations

2000 W Baltimore St
Baltimore, MD 21223
Phone (410) 362-3075

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

Interoperability endpoints

  • Direct secure messaging: ssompalli136062@direct.umm.edu

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 1

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1922028307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 RIDGE RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211365625",
            "telephone_number": "410-225-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 RIDGE RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211365625",
            "telephone_number": "410-225-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMPALLI",
        "first_name": "SIVARAMA",
        "middle_name": "PRASAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0016163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "973761800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reisterstown, MD

Sources for this page

Verify at the official NPI Registry.