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Cozumel Southern Pruette, MD, MHS

NPI 1295887750ActiveIndividual· Pediatrics, Pediatric Nephrology· Baltimore, MD

Pediatrics, Pediatric Nephrology (MD, MHS) in Baltimore, Maryland, trained at Southern Illinois University School of Medicine (class of 2005). Part D covered 27 prescriptions written in 2024, 81% of them generic.

Overview

NPI1295887750
StatusActive
Entity typeIndividual
CredentialMD, MHS
Sole proprietorNo
NPI issuedJan 17, 2007
Last updated in NPPESMar 1, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Pediatrics, Pediatric Nephrology Primary2080P0210XD67656MD
Pediatrics208000000XP20254MD

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Pediatric Medicine (MD)

Part D prescriptions in 2024

Prescriptions (claims)27 · 68 30-day fills
Total drug cost$57,873
Generic share81% of claims

Medicare sources and data years

Education and affiliations

Medical schoolSouthern Illinois University School of Medicine
Graduation year2005
Medicare specialtyPediatric Medicine

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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