Individual provider Active NPI

Michael Knable, D.O.

  • Psychiatry Physician
  • Frederick, MD
National Provider Identifier
1033133087
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
H37302 Issued in MD
Practice address
617 W Patrick St
Frederick, MD 21701-4027
Phone
(240) 493-4900
Fax
(301) 378-0113
NPI assigned
Jul 26, 2006
Last updated
Feb 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X H37302 MD Primary

Addresses

Primary practice location

617 W Patrick St
Frederick, MD 21701-4027

Mailing address

617 W Patrick St
Frederick, MD 21701-4027
Phone (240) 493-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2020 through Jan 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16818MDMDProsthodontist
H37302MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clearview Communities, LLC PastSince Feb 19, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 2

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1033133087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014027",
            "telephone_number": "240-493-4900",
            "fax_number": "301-378-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014027",
            "telephone_number": "240-493-4900",
            "fax_number": "301-378-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNABLE",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "H37302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.