Individual provider Active NPI

Prabaal B Dey, M.D.

  • Interventional Pain Medicine Physician
  • Rockville, MD
National Provider Identifier
1285630921
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
D0052943 Issued in MD
Practice address
11921 Rockville Pike
Ste 505
Rockville, MD 20852-2737
Phone
(410) 265-7300
Fax
(410) 265-9533
NPI assigned
Jun 27, 2005
Last updated
Feb 19, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X D0052943 MD Primary

Addresses

Primary practice location

11921 Rockville Pike
Ste 505
Rockville, MD 20852-2737

Mailing address

11921 Rockville Pike
Ste 505
Rockville, MD 20852-2737
Phone (301) 881-7246

Other identifiers 2

IdentifierTypeStateIssuer
F220-0005OtherMDBLUE CROSS REGIONAL
54869003OtherMDBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0052943MDMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deck Pain Management , LLC Interventional Pain Medicine PastSince Apr 30, 2003 Accepting new patients
Paincare Surgery Centers III PastSince Jan 3, 2006 Accepting new patients
ASC Development Company, LLC PastSince Jul 19, 2000 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1285630921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11921 ROCKVILLE PIKE",
            "address_2": "STE 505",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522737",
            "telephone_number": "301-881-7246",
            "fax_number": "301-881-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11921 ROCKVILLE PIKE",
            "address_2": "STE 505",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522737",
            "telephone_number": "410-265-7300",
            "fax_number": "410-265-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEY",
        "first_name": "PRABAAL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MD",
            "license": "D0052943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS REGIONAL",
            "identifier": "F220-0005",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "54869003",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.