Gebreye W. Rufael, M.D, PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

D17107 Issued in MD

Legal business name

GEBREYE W. RUFAEL, M.D, PA

Practice address

10840 Little Patuxent Pkwy
302
Columbia, MD 21044-3115

Phone

(410) 992-4666

Fax

(410) 992-4766

NPI assigned

Sep 11, 2008

Last updated

Sep 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gebreye W. Rufael, M.DNPI 1659317048

Title

Owner

Phone

(410) 992-4666

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gebreye W Rufael, MD

  • Internal Medicine Physician
  • Columbia, MD
  • NPI 1659317048
  NPD Authorized official
• Mary Olubunmi Fakorede, MD

  • Family Medicine Physician
  • Washington, DC
  • NPI 1922569714
  NPD (past)

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1215186465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10840 LITTLE PATUXENT PKWY",
            "address_2": "302",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443115",
            "telephone_number": "410-992-4666",
            "fax_number": "410-992-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10840 LITTLE PATUXENT PKWY",
            "address_2": "302",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443115",
            "telephone_number": "410-992-4666",
            "fax_number": "410-992-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEBREYE W. RUFAEL, M.D, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "RUFAEL",
        "authorized_official_first_name": "GEBREYE",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-992-4666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MD",
            "license": "D17107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "10101242",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3300066",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "965171301",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD/BLUE CROSS",
            "identifier": "0-7251-GW-11",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD/BLUE CROSS",
            "identifier": "7680-0001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4053583",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Gayle, RN
• Ruchama Esther Gayler
• Laura Rayne Gaylor, RN
• Tagnon Yanne Elsie Gla Gbokede, RBT
• Zenatsehay Balcha Gebretsadik
• Lauren Gloger Geisbert, DPT
• Ira Dean Gelb, M.D.
• Anne Frances Gelber, NP
• Lisa Marie Geldmacher
• Marlee Gelfand, LMSW

• Medical Specialty Clinic/Center in Columbia, MD
• Providers in Columbia, MD by specialty
• Medical Specialty Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.