Active NPI
Robin Lee Bissell, M.D.
- General Practice Physician
- Grantsville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- D0034231
- Practice address
- 124 Miller St
Grantsville, MD 21536-1383 - Phone
- (240) 444-4219
- Fax
- (475) 277-4961
- NPI assigned
- Jul 12, 2005
- Last updated
- Sep 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | D0034231 | MD | Primary |
Addresses
Primary practice location
124 Miller St
Grantsville, MD 21536-1383
Mailing address
PO Box 718
Grantsville, MD 21536-0718
Phone (240) 444-4219
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287151300 | Medicaid | MA | |
| 521686633 | Other | COMMERCIAL | |
| P13867 | Other | MD | BCBS |
| 71816401 | Other | MD | BS |
| 287151300 | Medicaid | MD | |
| R1990001 | Other | MD | BLUE CHOICE |
| 865494 | Other | UNITED HEALTH CARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
891 Dorsey Hotel Rd
Grantsville, MD 21536-1369
Phone 3018955194201
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goodwill Mennonite Home, Inc. | Current | Accepting new patients | |
| Northern Garrett County Rescue Squad, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
891 Dorsey Hotel Rd
Grantsville, MD 21536
Phone (301) 895-5194
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.
-
- Skilled Nursing Facility
- Grantsville, MD
- NPI 1720025489
-
- Clinic/Center
- Grantsville, MD
- NPI 1467475145
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Land Ambulance
- Grantsville, MD
- NPI 1073594826
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Oakland, MD
- NPI 1942362207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630886400000",
"number": "1033117221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 718",
"city": "GRANTSVILLE",
"state": "MD",
"postal_code": "215360718",
"telephone_number": "240-444-4219",
"fax_number": "475-277-4961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 MILLER ST",
"city": "GRANTSVILLE",
"state": "MD",
"postal_code": "215361383",
"telephone_number": "240-444-4219",
"fax_number": "475-277-4961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISSELL",
"first_name": "ROBIN",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-12",
"last_updated": "2021-09-06",
"certification_date": "2021-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MD",
"license": "D0034231",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "287151300",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "521686633",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "P13867",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS",
"identifier": "71816401",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "287151300",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "R1990001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "865494",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grantsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.