Individual provider Active NPI

Deborah Gisriel Bittar, M.D.

  • Pediatrics Physician
  • Towson, MD
National Provider Identifier
1184692592
Registry record updated Dec 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0031446 Issued in MD
Practice address
849 Fairmont Avenue
Suite 100a
Towson, MD 21286-2600
Phone
(410) 494-1369
Fax
(494) 273-7410
NPI assigned
Mar 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2018

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 D0031446 MD Primary

Addresses

Primary practice location

849 Fairmont Avenue
Suite 100a
Towson, MD 21286-2600

Mailing address

515 Fairmount Ave
Suite 200
Towson, MD 21286-5466
Phone (410) 494-1369

Other practice location 1

515 Fairmount Ave
Suite 200
Towson, MD 21286-5466
Phone (410) 494-1369

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
I20060120000298 MD Practitioner - Pediatric Medicine 5799709440 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Community Pediatrics, LLC Pediatrics CurrentSince Jul 1, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10084 Reisterstown Rd
Ste 200B
Owings Mills, MD 21117
Phone (410) 526-7993

849 Fairmount Ave
Ste 100A
Towson, MD 21286
Phone (410) 494-1369

515 Fairmount Ave
Ste 200
Towson, MD 21286
Phone (410) 216-1594

Interoperability endpoints

  • Direct secure messaging: deborahbittar@msp.allscriptsdirect.net

Organizations & group practices 2

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1184692592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 FAIRMOUNT AVE",
            "address_2": "SUITE 200",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865466",
            "telephone_number": "410-494-1369",
            "fax_number": "410-494-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 FAIRMONT AVENUE",
            "address_2": "SUITE 100A",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862600",
            "telephone_number": "410-494-1369",
            "fax_number": "494-273-7410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Fairmount Ave",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212865466",
            "country_code": "US",
            "telephone_number": "410-494-1369",
            "fax_number": "410-494-2737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BITTAR",
        "first_name": "DEBORAH",
        "middle_name": "GISRIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0031446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.