Priya Veppumthara, MD
NPI 1164681052 · Emergency Medicine Physician · Baltimore, MD
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Priya Veppumthara, MD is a Emergency Medicine Physician provider in Baltimore, MD (NPI 1164681052).
Provider details
- NPI number
- 1164681052
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD500002436 (DC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
514 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 290 | $186 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 169 | $129 |
| Critical Care, First 30-74 Minutes99291 | 55 | $221 |
Typical Medicare-allowed amounts for these services range $129–$221 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cefpodoxime Proxetil | 18 | 18 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 5255 Loughboro Rd NwWashington, DC 20016-2633Phone: (202) 537-4686Fax: (202) 537-4965
Registry dates
- Enumerated
- 2008-06-05
- Last updated
- 2024-04-30
- Certified
- 2024-04-30
Frequently asked questions
- What is Priya Veppumthara's NPI number?
- Priya Veppumthara's National Provider Identifier (NPI) is 1164681052, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Priya Veppumthara's specialty?
- Priya Veppumthara is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Priya Veppumthara located?
- Priya Veppumthara's practice location on file with NPPES is 110 S Paca St, Baltimore, MD 21201-1642.
- What is Priya Veppumthara's phone number?
- The practice phone number listed in the NPPES registry for Priya Veppumthara is (410) 328-8025.
- Does Priya Veppumthara accept Medicare?
- Priya Veppumthara is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Priya Veppumthara's NPI active?
- Yes — Priya Veppumthara's NPI (1164681052) is active in the NPPES registry as of the last update on 2024-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.