Individual provider Active NPI

Benjamin Karl Ebert, PA-C

  • Physician Assistant
  • Annapolis, MD
National Provider Identifier
1114705233
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0009564 Issued in MD
Practice address
2629 Riva Rd Ste 114
Annapolis, MD 21401-7428
Phone
(410) 573-2530
Fax
(410) 573-2536
NPI assigned
Sep 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0009564 MD Primary

Addresses

Primary practice location

2629 Riva Rd Ste 114
Annapolis, MD 21401-7428

Mailing address

2629 Riva Rd Ste 114
Annapolis, MD 21401-7428
Phone (410) 573-2530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241125002065 MD Practitioner - Physician Assistant 4981139151 Reassigns benefits to 1 organization
I20241125002228 DC Practitioner - Physician Assistant 4981139151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced Orthopaedics LLC 599 clinicians

Practice addresses (Care Compare)

10710 Charter Dr
Suite 300
Columbia, MD 21044-3260
Phone (410) 644-1880

Hospital & facility affiliations

  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Oct 7, 2024 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Oct 7, 2024 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Oct 7, 2024 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

2629 Riva Rd
Ste 114
Annapolis, MD 21401
Phone (410) 573-2530

2003 Medical Pkwy
Ste 400
Annapolis, MD 21401
Phone (410) 573-2530

4000 Mitchellville Rd
Ste A214
Bowie, MD 20716
Phone (410) 573-2530

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

Interoperability endpoints

  • Direct secure messaging: 37bebert@cfaortho.emadirect.md

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1114705233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 RIVA RD STE 114",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017428",
            "telephone_number": "410-573-2530",
            "fax_number": "410-573-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 RIVA RD STE 114",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017428",
            "telephone_number": "410-573-2530",
            "fax_number": "410-573-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERT",
        "first_name": "BENJAMIN",
        "middle_name": "KARL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-19",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0009564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.