Individual provider Active NPI

Fateh Hraky Sr.

  • Obstetrics & Gynecology Physician
  • Baltimore, MD
National Provider Identifier
1013933563
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0054042 Issued in MD
Practice address
3001 S Hanover St
Suite 301
Baltimore, MD 21225-1233
Phone
(410) 350-0800
NPI assigned
Jul 15, 2006
Sex
Male
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
Obstetrics & Gynecology Physician 207V00000X D0054042 MD Primary

Addresses

Primary practice location

3001 S Hanover St
Suite 301
Baltimore, MD 21225-1233

Mailing address

3001 S Hanover St
Suite 301
Baltimore, MD 21225-1233
Phone (410) 350-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050127000946 MD Practitioner - Obstetrics/GynecologyPractitioner - Internal Medicine 0345290201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Womens Health LLCGroup PAC ID 1355644709, 3 clinicians

Practice addresses (Care Compare)

308 Hospital Dr
Suite 101
Glen Burnie, MD 21061-6113
Phone (410) 595-6353

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0054042MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Women'S Health, LLC CurrentSince Dec 4, 2015 Accepting new patients
Harbor Hospital Past Accepting new patients
Iowa Heart Center PC Past Accepting new patients
Harbor Hospital, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Mercy Clinics, Inc. Obstetrics & Gynecology Past Accepting new patients
Baltimore Washington Medical Center Inc. Past Accepting new patients

Locations

3001 S Hanover St
Ste 202
Baltimore, MD 21225
Phone (410) 355-0001

308 Hospital Dr
Ste 101
Glen Burnie, MD 21061
Phone (410) 595-6353

Interoperability endpoints

  • Direct secure messaging: fhraky470974@direct.umm.edu

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013933563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 S HANOVER ST",
            "address_2": "SUITE 301",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251233",
            "telephone_number": "410-350-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S HANOVER ST",
            "address_2": "SUITE 301",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251233",
            "telephone_number": "410-350-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRAKY",
        "first_name": "FATEH",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0054042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.