Individual provider Active NPI

John C Rabine, M.D.

  • Gastroenterology Physician
  • Baltimore, MD
National Provider Identifier
1114912631
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
Q6088 Issued in TX
Practice address
2411 W Belvedere Ave Ste 308
Baltimore, MD 21215
Phone
(410) 601-5392
Fax
(410) 601-7854
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X Q6088 TX Primary

Addresses

Primary practice location

2411 W Belvedere Ave Ste 308
Baltimore, MD 21215

Mailing address

2411 W Belvedere Ave Ste 308
Baltimore, MD 21215-5230
Phone (410) 601-5392

Other practice location 1

2411 W Belvedere Ave Ste 308
Baltimore, MD 21215
Phone (410) 601-5392

Other identifiers 4

IdentifierTypeStateIssuer
8FY260OtherTXBLUE CROSS BLUE SHIELD
017791100MedicaidMD
361007301MedicaidTX
P01733202OtherTXRAILROAD MEDICARE

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
I20081208000017 MD Practitioner - Gastroenterology 4385705524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Sinai Hospital of Baltimore, IncGroup PAC ID 0941112346, 373 clinicians

Practice addresses (Care Compare)

2411 W Belvedere Ave
305 Sinai Gastroenterology Avenue
Baltimore, MD 21215-5217
Phone (410) 601-5392

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy148
Upper gastrointestinal (GI) endoscopy for acid reflux273

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Dec 10, 2009 Accepting new patients
Sinai Hospital of Baltimore Inc Gastroenterology CurrentSince Dec 10, 2009 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2411 W Belvedere Ave
Ste 305
Baltimore, MD 21215
Phone (410) 542-4700

2411 W Belvedere Ave
Ste 308
Baltimore, MD 21215
Phone (410) 367-9600

2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632

2435 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 601-0900

Organizations & group practices 4

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1114912631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 W BELVEDERE AVE STE 308",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155230",
            "telephone_number": "410-601-5392",
            "fax_number": "410-601-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 W BELVEDERE AVE STE 308",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21215",
            "telephone_number": "410-601-5392",
            "fax_number": "410-601-7854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2411 W Belvedere Ave Ste 308",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21215",
            "country_code": "US",
            "telephone_number": "410-601-5392",
            "fax_number": "410-601-7854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RABINE",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "Q6088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8FY260",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017791100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "361007301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01733202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.