NPIMap

Individual provider Active NPI

Heike Barbara Bailin, M.D.

  • Family Medicine Physician
  • Gaithersburg, MD
National Provider Identifier
1003826801
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0052701 Issued in MD
Practice address
803 Russell Ave
Suite #1
Gaithersburg, MD 20879-3584
Phone
(301) 869-0700
Fax
(301) 947-9513
NPI assigned
Aug 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0052701 MD Primary

Addresses

Primary practice location

803 Russell Ave
Suite #1
Gaithersburg, MD 20879-3584

Mailing address

803 Russell Ave
Suite #1
Gaithersburg, MD 20879-3584
Phone (301) 869-0700

Other identifiers 2

IdentifierTypeStateIssuer
M43959OtherMDSTATE OF MARYLAND CDS
D0052701OtherMDSTATE LICENSURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0052701MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians' House Calls Past Accepting new patients
Secure Medical Associates, LLC Past Accepting new patients
Doctors' Billing & Management Solutions, Inc Past Accepting new patients
Contee Emergency Physicians Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003826801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 RUSSELL AVE",
            "address_2": "SUITE #1",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793584",
            "telephone_number": "301-869-0700",
            "fax_number": "301-947-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 RUSSELL AVE",
            "address_2": "SUITE #1",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793584",
            "telephone_number": "301-869-0700",
            "fax_number": "301-947-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILIN",
        "first_name": "HEIKE",
        "middle_name": "BARBARA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0052701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MARYLAND CDS",
            "identifier": "M43959",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "D0052701",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.