Individual provider Active NPI

Sathvik Balaram, MD

  • Allergy & Immunology Physician
  • Ellicott City, MD
National Provider Identifier
1942732151
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
D0093322 Issued in MD
Practice address
6021 University Blvd Ste 265
Ellicott City, MD 21043-8503
Phone
(410) 772-8000
NPI assigned
Mar 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X D0093322 MD Primary

Addresses

Primary practice location

6021 University Blvd Ste 265
Ellicott City, MD 21043-8503

Mailing address

1044 Green Hill Farm Rd
Reisterstown, MD 21136-5133

Other practice location 1

10802 Hickory Ridge Rd
Columbia, MD 21044-3622
Phone (410) 964-3888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220623002474 MD Practitioner - Allergy/Immunology 8729403100 Reassigns benefits to 1 organization
I20250702000020 DC Practitioner - Allergy/Immunology 8729403100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Louisville School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asthma and Allergy Center LLCGroup PAC ID 7719909639, 35 clinicians

Practice addresses (Care Compare)

6021 University Blvd
Suite 265
Ellicott City, MD 21043-8503
Phone (410) 772-8000

844 Washington Rd
Suite 201
Westminster, MD 21157-6796
Phone (410) 857-7900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma & Allergy Center LLC Allergy & Immunology CurrentSince Aug 1, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

208 Plumtree Rd
Ste B
Bel Air, MD 21015
Phone (410) 638-1999

10802 Hickory Ridge Rd
Columbia, MD 21044
Phone (410) 964-3888

6021 University Blvd
Ste 265
Ellicott City, MD 21043
Phone (410) 772-8000

12150 Annapolis Rd
Ste 108
Glenn Dale, MD 20769
Phone (301) 860-1200

7501 Greenway Center Dr
Ste 440
Greenbelt, MD 20770
Phone (301) 220-1333

14995 Shady Grove Rd
Ste 100
Rockville, MD 20850
Phone (301) 869-7820

844 Washington Rd
Ste 201
Westminster, MD 21157
Phone (410) 486-2000

2500 Legacy Dr
Ste 200
Frisco, TX 75034

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1942732151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 GREEN HILL FARM RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211365133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 UNIVERSITY BLVD STE 265",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210438503",
            "telephone_number": "410-772-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10802 Hickory Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210443622",
            "country_code": "US",
            "telephone_number": "410-964-3888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALARAM",
        "first_name": "SATHVIK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MD",
            "license": "D0093322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.