Individual provider Active NPI

Somya Abubucker, MD

  • Psychiatry Physician
  • Baltimore, MD
National Provider Identifier
1033508361
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0086452 Issued in MD
Practice address
6501 N Charles St
Baltimore, MD 21204-6819
Phone
(410) 938-3000
NPI assigned
Jan 9, 2015
Last updated
Jul 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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 D0086452 MD Primary

Addresses

Primary practice location

6501 N Charles St
Baltimore, MD 21204-6819

Mailing address

6501 N Charles St
Baltimore, MD 21204-6819
Phone (410) 938-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210714000207 MD Practitioner - Psychiatry 1759639651 Reassigns benefits to 1 organization
I20250103001926 FL Practitioner - Psychiatry 1759639651

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Johns Hopkins University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9722 Groffs Mill Dr
Owings Mills, MD 21117-6341
Phone (410) 870-5602

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0086452MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gestell Psychiatry, LLC CurrentSince Sep 12, 2022 Accepting new patients
Neeyum Psychiatry, LLC CurrentSince Oct 13, 2024 Accepting new patients
Gestell Psychiatry, LLC Current Accepting new patients
Neta, Inc. PastSince Jan 21, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

610 E Zack St
Ste 1102314
Tampa, FL 33602
Phone (240) 284-9348

1501 Sulgrave Ave
Ste 202
Baltimore, MD 21209
Phone (410) 881-2106

600 N Wolfe St
Baltimore, MD 21287

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

Organizations & group practices 5

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": "1420761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1033508361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046819",
            "telephone_number": "410-938-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046819",
            "telephone_number": "410-938-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUBUCKER",
        "first_name": "SOMYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-09",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0086452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.