Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Cozumel Southern Pruette, MD, MHS

Individual provider Pediatrics Physician · NPI 1295887750

Dr. Cozumel Southern Pruette, MD, MHS is a Pediatric Medicine in Baltimore, Maryland. Graduated from Southern Illinois University School of Medicine in 2005, 21 years ago. Practices with Johns Hopkins University, a 2,855-clinician group. Licensed in Maryland.

Years since qualifying
21
Trained at
Southern Illinois University School of Medicine
Licensed in
MD
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

200 N Wolfe St Rm 3055
Baltimore, MD 21287-0011
Phone: (410) 955-2467
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nephrology Physician (primary) Taxonomy 2080P0210X · Licence D67656 (MD)
Pediatrics Physician Taxonomy 208000000X · Licence P20254 (MD)

Record details

NPI number1295887750
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , MHS
Sole proprietorNo
NPI enumeratedJanuary 17, 2007
Last updated in NPPESMarch 1, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Johns Hopkins University — 2855 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Baltimore