Individual provider Active NPI

Ariel Dubelman, M.D.

  • Pediatrics Physician
  • Gaithersburg, MD
National Provider Identifier
1093721458
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0062944 Issued in MD
Practice address
555 Quince Orchard Road
Suite 350
Gaithersburg, MD 20878
Phone
(301) 926-3633
Fax
(301) 948-9884
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0062944 MD Primary

Addresses

Primary practice location

555 Quince Orchard Road
Suite 350
Gaithersburg, MD 20878

Mailing address

12211 Plum Orchard Dr Ste 220
Silver Spring, MD 20904-7903
Phone (301) 754-3050

Other identifiers 1

IdentifierTypeStateIssuer
408899900MedicaidMD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120725000845 MD Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3971769522

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Pediatricians & Associates, LLC Pediatrics Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Childrens Pediatricians & Assoc Pediatrics PastSince Feb 9, 2025 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1093721458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12211 PLUM ORCHARD DR STE 220",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047903",
            "telephone_number": "301-754-3050",
            "fax_number": "301-681-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 QUINCE ORCHARD ROAD",
            "address_2": "SUITE 350",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "20878",
            "telephone_number": "301-926-3633",
            "fax_number": "301-948-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBELMAN",
        "first_name": "ARIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0062944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408899900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.