NPIMap

Individual provider Active NPI

John C. Arrabal, M.D.

  • General Practice Physician
  • Chestertown, MD
National Provider Identifier
1295727063
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
D0023889 Issued in MD
Practice address
6602 Church Hill Rd
Suite 500
Chestertown, MD 21620-2310
Phone
(410) 778-6410
Fax
(410) 778-2144
NPI assigned
Aug 18, 2005
Last updated
May 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X D0023889 MD Primary

Addresses

Primary practice location

6602 Church Hill Rd
Suite 500
Chestertown, MD 21620-2310

Mailing address

6602 Church Hill Rd
Suite 500
Chestertown, MD 21620-2310
Phone (410) 778-6410

Other identifiers 1

IdentifierTypeStateIssuer
171700600MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100324000231 MD Practitioner - General Practice 0345375788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

415 Washington Ave
Suite 2
Chestertown, MD 21620-1406
Phone (410) 778-6410

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.39 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0023889MDMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John C. Arrabal, MD, PA General Practice CurrentSince Oct 1, 1999 Accepting new patients
Resorts at Chester River Manor Corp Past Accepting new patients

Locations

223 High St
Chestertown, MD 21620
Phone (410) 778-6410

415 Washington Ave
Ste 2
Chestertown, MD 21620
Phone (410) 778-6410

6602 Church Hill Rd
Ste 500
Chestertown, MD 21620
Phone (410) 778-5550

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1295727063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6602 CHURCH HILL RD",
            "address_2": "SUITE 500",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216202310",
            "telephone_number": "410-778-6410",
            "fax_number": "410-778-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 CHURCH HILL RD",
            "address_2": "SUITE 500",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216202310",
            "telephone_number": "410-778-6410",
            "fax_number": "410-778-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARRABAL",
        "first_name": "JOHN",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0023889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171700600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestertown, MD

Sources for this page

Verify at the official NPI Registry.