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Dr. Patcharin Surichamorn , MD

Pediatrics β€’ Baltimore, MD

Active NPI 1205869336 Individual Practitioner Female Practitioner
Practice location in NPPES

4 W Rolling Crossroads, Suite 100
Baltimore, MD 212286280

Call 4108690100 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4 W Rolling Crossroads
Suite 100

Baltimore, MD 212286280

Telephone 4108690100
Fax 4108690460
Organization at the Same NPPES Address or Phone
Lifebridge Community Physicians Inc Facility NPI 1518767201

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Baltimore and Maryland

519 active clinicians are listed under Pediatrics with a practice address in Baltimore, MD (1,843 in Maryland).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Baltimore

0.2% of these 519 clinicians have the CMS telehealth indicator.

6.4% of these 519 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MD D0017134

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Maryland Board of Physicians.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
54847 (MD)
Medicaid ID
757361800 (MD)
Medicaid ID
1980499 (MD)
Other Identifier Carefirst Maryland
76883501
Other Identifier Cigna
9628375001
Other Identifier Kaiser
9984
Other Identifier Aetna Hmo
2330356
Other Identifier Coventry
112468
Other Identifier Ncppo
700248
Other Identifier Johns Hopkins Healthcare
039588

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

11 listed
Joy Ahanonu , CRNP

Nurse Practitioner - Acute Care

NPI 1588837090

Certified Registered Nurse Practitioner

NPI 1851340319

Doctor of Medicine (M.D.)

Doreen Bannerman , CRNP

Nurse Practitioner - Adult Health

NPI 1528763729

Certified Registered Nurse Practitioner

NPI 1669405171

Doctor of Medicine (M.D.)

NPI 1508010539

MDMPH

Shusma Karki , CRNP

Nurse Practitioner - Family

NPI 1679022370

Certified Registered Nurse Practitioner

Career & Practice History

NPI enumerated July 09, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to November 2026.

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NPI Administrative Meta

NPI Number: 1205869336
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2006
Last Update: July 09, 2007
Sole Proprietor: No

Other Pediatrics Specialists in Baltimore

All Pediatrics Specialists in Baltimore

Mailing Address

3 Brookfield Garth

Lutherville, MD 210934735

Phone: 4108690100

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.