Individual provider Active NPI

Abbott Ben Huang, M.D.

  • Diagnostic Radiology Physician
  • Washington, DC
National Provider Identifier
1144204371
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD30038 Issued in DC
Practice address
3301 New Mexico Ave NW
Suite 106
Washington, DC 20016-3622
Phone
(202) 966-0606
Fax
(202) 244-6757
NPI assigned
Dec 1, 2005
Last updated
Jun 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD30038 DC Primary
Diagnostic Radiology Physician 2085R0202X D0050747 MD
Diagnostic Radiology Physician 2085R0202X O101054230 VA
Diagnostic Radiology Physician 2085R0202X MD00043994 WA

Addresses

Primary practice location

3301 New Mexico Ave NW
Suite 106
Washington, DC 20016-3622

Mailing address

3301 New Mexico Ave NW Ste 106
Washington, DC 20016-3622
Phone (202) 966-0606

Other identifiers 3

IdentifierTypeStateIssuer
805050300MedicaidMD
470001526OtherRR MEDICARE
300135379OtherRR 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
I20040324000308 MD Practitioner - Diagnostic Radiology 4486545886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Maryland School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Agnes Healthcare IncGroup PAC ID 9830092733, 265 clinicians

Practice addresses (Care Compare)

900 Caton Ave
Baltimore, MD 21229-5201
Phone (667) 234-3120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0050747MDMDDiagnostic Radiology Physician
O101054230VAMDDiagnostic Radiology Physician
MD00043994WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Agnes Healthcare Inc CurrentSince Nov 12, 2018 Accepting new patients
Round Lake Medical Imaging Inc CurrentSince Aug 1, 2017 Accepting new patients
Providence Health Services, Inc CurrentSince Jul 27, 2021 Accepting new patients
St Agnes Healthcare Inc Diagnostic Radiology CurrentSince Nov 12, 2018 Accepting new patients
Washington ENT Group PLLC Past Accepting new patients
David L Bloom PA Diagnostic Radiology Past Accepting new patients
Washington Open MRI Inc Past Accepting new patients
David L Bloom PA Diagnostic Radiology Past Accepting new patients
Washington Open MRI Inc Past Accepting new patients

Locations

3449 Wilkens Ave
Ste 102
Baltimore, MD 21229
Phone (667) 234-8675

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

5500 Knoll North Dr
Ste 190
Columbia, MD 21045
Phone (443) 917-2700

Organizations & group practices 9

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

Hospital & facility affiliations 1

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1144204371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 NEW MEXICO AVE NW STE 106",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200163622",
            "telephone_number": "202-966-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 NEW MEXICO AVE NW",
            "address_2": "SUITE 106",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200163622",
            "telephone_number": "202-966-0606",
            "fax_number": "202-244-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "ABBOTT",
        "middle_name": "BEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD30038",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0050747",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "O101054230",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00043994",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805050300",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "470001526",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300135379",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.