Ebony Rebecca Alston, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Baltimore, MD
NPI 1073803136 · NPPES record last updated Mar 5, 2019
Key facts
- NPI
- 1073803136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- D0086624 (MD)
- Practice address
- 9105 Franklin Square Dr Ste 209
Baltimore, MD 21237-3958 - Phone
- (410) 574-1330
- Fax
- (410) 574-2691
- NPI assigned
- Apr 11, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 23
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Medical University of South Carolina College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Medstar Medical Group II LLC
Medstar Heart Institute LLC
Practice addresses (Care Compare)
9105 Franklin Square Dr
Rosedale, MD 21237-3930
Phone (410) 574-1330
9105 Franklin Square Dr
Suite 209
Baltimore, MD 21237-3958
Phone (410) 554-6550
Hospital & facility affiliations
- Medstar Franklin Square Medical Center
- Medstar Good Samaritan Hospital
- Medstar Union Memorial Hospital
- Umd Upper Chesapeake Medical Center
- Saint Agnes Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.34 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.47
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.94 of 100
- Quality
- 66.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.65
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190211002203 | MD | Practitioner - Cardiovascular Disease (Cardiology) | 7810263712 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0086624 | MD | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| Medstar Heart Institute LLC | Cardiovascular Disease | Current |
Accepting new patients |
Locations
3333 N Calvert St
Baltimore, MD 21218
Phone (410) 235-5405
12 Medstar Blvd
Ste 175
Bel Air, MD 21015
1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440
1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440
9105 Franklin Square Dr
Ste 209
Rosedale, MD 21237
Phone (410) 574-1330
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | D0086624 | MD | Yes |
| Cardiovascular Disease Physician | 207RC0000X | 25MA10191500 | NJ |
Addresses
Primary practice location
9105 Franklin Square Dr Ste 209
Baltimore, MD 21237-3958
Mailing address
9105 Franklin Square Dr Ste 209
Baltimore, MD 21237-3958
Phone (410) 574-1330
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0581721 | Medicaid | NJ |
Other providers in Baltimore, MD
- Christin T Alsop
- Edwin Terrence Alspaugh
- Pamela Alston-Campbell
- Brittany Alston
- Diana Patricia Alston
- Joshua Alston
- Karahn Alston
- Lateaqua Alston
- Zenobia Alston
- Mohanned Saleh Alsuhaibani
All providers in Baltimore, MD · Cardiovascular Disease Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.