RALPH S NORTHAM (M.D.) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1780630145

RALPH S NORTHAM (M.D.) is a healthcare provider. based in Baltimore, Maryland. specializing in NEUROLOGY, PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 0101047764 (VA). The NPI Number for RALPH S NORTHAM (M.D.) is 1780630145

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
RALPH S NORTHAM (M.D.)
NPI
1780630145
Phone
(757) 668-7200
Address
PO BOX 79137
Enumeration Date
26 May 2006
Last Update Date
17 December 2009

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
7576687007
Graduation Year
1984 (42 years ago)
PAC ID
6507996774
Group Practice PAC ID
5890788764
Professional Enrollment ID
I20101118000615
Address ID
VA235101021NO850XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

706 NEUROLOGY in VA

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Provider Addresses for RALPH S NORTHAM (M.D.)

  • PO BOX 79137

    BALTIMORE, MD 212790137

    Phone: (757) 668-7200

    Fax: (757) 668-9691

    Type: Mailing

  • 601, Childrens Lane, Norfolk, Virginia, 23507, United States

    NORFOLK, VA 235071910

    Phone: (757) 668-9920

    Fax: (757) 668-9930

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $1,397.

Total Amount is formed as General ($1,397) + Research ($0) + Ownership ($0) = $1,397.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: LivaNova USA, Inc. ($1,189).

Total Amount

$1,397

General + Research + Ownership

Payments

20

Total payment records

General Amount

$1,397

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-11-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-10-31 (954 days ago).

Enrollment records

1

Earliest due date

2023-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101118000615INeurologyVA2023-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 21279)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890788764View full group profile
NameSpecialtyState
-VA
Pediatric Medicine, Hematology/OncologyMD
-VA
Physician AssistantVA
-VA
Pediatric Medicine, Hematology/OncologyVA
Pulmonary Disease, Internal Medicine, Critical Care (Intensivists)VA
Emergency Medicine, Pediatric MedicineVA
Pediatric Medicine, Cardiovascular Disease (Cardiology)VA
-MD

Reviews

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Frequently asked questions

What identifier follows RALPH S NORTHAM (M.D.) across health systems?
The NPI 1780630145 uniquely identifies RALPH S NORTHAM (M.D.) in U.S. healthcare data.
Is RALPH S NORTHAM (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists RALPH S NORTHAM (M.D.) as active.
What type of care does RALPH S NORTHAM (M.D.) provide?
RALPH S NORTHAM (M.D.)'s profile centers on Neurology with Special Qualifications in Child Neurology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to RALPH S NORTHAM (M.D.)?
RALPH S NORTHAM (M.D.) is associated with Baltimore, Maryland in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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Unknown Individual

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NPI: 1710929781