Active NPI
Elias G Debbas, MD
- Surgery Physician
- Fort Washington, MD
National Provider Identifier
1114946324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D0019347
- Practice address
- 11701 Livingston Road
Suite 201
Fort Washington, MD 20744 - Phone
- (301) 292-4760
- Fax
- (301) 203-0921
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
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 | D0019347 | MD | Primary |
Addresses
Primary practice location
11701 Livingston Road
Suite 201
Fort Washington, MD 20744
Mailing address
11701 Livingston Road
Suite 201
Fort Washington, MD 20744
Phone (301) 292-4760
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07740001 | Other | DC | BC |
| 188541300 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- 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 |
|---|---|---|---|---|
| I20100407000076 | DC | Practitioner - General Surgery | 8729114335 | Practice locations: Fort Washington, MD |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1960
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11701 Livingston Rd
Suite 201
Fort Washington, MD 20744-5136
Phone (301) 292-4760
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278028800000",
"number": "1114946324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11701 LIVINGSTON ROAD",
"address_2": "SUITE 201",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "20744",
"telephone_number": "301-292-4760",
"fax_number": "301-203-0921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11701 LIVINGSTON ROAD",
"address_2": "SUITE 201",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "20744",
"telephone_number": "301-292-4760",
"fax_number": "301-203-0921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBBAS",
"first_name": "ELIAS",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2010-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D0019347",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "07740001",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "188541300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Washington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.