Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215924402 Individual Practitioner Male Practitioner

Dr. Kenneth Tellerman , MD

Pediatrics • Baltimore, MD

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Tellerman, MD is a registered healthcare professional specializing in Pediatrics in Baltimore, MD. Practice services are available at 711 W 40TH ST STE 438 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

711 W 40th St Ste 438

Baltimore, MD 212112199

Telephone 4102438632
Fax 4102430470
Associated Practice Facility / Clinic
🏢 Tellerman & Associates, Llc Facility NPI 1659903920

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Baltimore, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
540 Specialists

Practicing in Baltimore, MD (1907 Statewide)

Telehealth Adoption Rate
0.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-09-15
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MD D0025147

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
350701700 (MD)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1043604044

Doctor of Medicine (M.D.)

Bilikis Ogunniyi , CRNP

Nurse Practitioner

NPI 1093495251

Certified Registered Nurse Practitioner

NPI 1124005343

Doctor of Medicine (M.D.)

Rachel Spar , CRNP

Nurse Practitioner - Pediatrics

NPI 1295048510

Certified Registered Nurse Practitioner

Raiza Schreiber , FNP

Nurse Practitioner - Family

NPI 1689538589

Family Nurse Practitioner

NPI 1871693440

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location September 15, 2021

Registered at 711 W 40TH ST STE 438, BALTIMORE, MD 212112199 (Tel: 4102438632)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 222 W COLD SPRING LN, BALTIMORE, MD 212102802 (Tel: 4102438632)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2416 KEN OAK RD, BALTIMORE, MD 212094310 (Tel: 4106646632)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH TELLERMAN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #D0025147 in MD)

🟢
Initial NPI Registration & Enumeration October 03, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215924402
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2005
Last Update: September 15, 2021
Sole Proprietor: No

Mailing Address

2416 Ken Oak Rd

Baltimore, MD 212094310

Phone: 4106646632

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.