Active NPI
Dave Y Choi, M.D.
- Surgery Physician
- Glen Burnie, MD
National Provider Identifier
1043324577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D0038547
- Practice address
- 7845 Oakwood Rd
Suite # 205
Glen Burnie, MD 21061-4280 - Phone
- (410) 553-0106
- NPI assigned
- Aug 19, 2006
- Last updated
- May 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D0038547 | MD | Primary |
Addresses
Primary practice location
7845 Oakwood Rd
Suite # 205
Glen Burnie, MD 21061-4280
Mailing address
PO Box 1622
Pasadena, MD 21123-1622
Phone (410) 553-0106
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020010859 | Other | MD | RAILROAD MEDICARE # |
| 2295DY | Other | MD | CAREFIRST MARYLAND # |
| 538581400 | Medicaid | MD | |
| E216 | Other | MD | BLUECHOICE MARYALND # |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110106000956 | MD | Practitioner - General Surgery | 6204025257 | Practice locations: Glen Burnie, MD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0038547 | MD | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1043324577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1622",
"city": "PASADENA",
"state": "MD",
"postal_code": "211231622",
"telephone_number": "410-553-0106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7845 OAKWOOD RD",
"address_2": "SUITE # 205",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210614280",
"telephone_number": "410-553-0106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "DAVE",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D0038547",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE #",
"identifier": "020010859",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MARYLAND #",
"identifier": "2295DY",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "538581400",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHOICE MARYALND #",
"identifier": "E216",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Burnie, MD
- Chesapeake Urology Associates, LLC (Chesapeake Oncology Hematology)
- Kelvin Cho CHI
- Natalie Elaine Jennifer Chilaka, M.D.
- Child & Adult Behavioral Health, LLC
- Sandra Y Cho, M.D.
- Hanna Chong
- Anil Chopra, MD
- Chosen Pediatrics Clinic LLC
- Maryann Chretin, LCPC
- Michelle Marion Christensen, SPEECH PATHOLOGIST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.