Individual provider Active NPI

David Mark Fishbein, M.D.

  • Specialist
  • Pasadena, MD
National Provider Identifier
1295753523
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0025330 Issued in MD
Practice address
8028 Ritchie Hwy Ste 108
Pasadena, MD 21122-1020
Phone
(410) 766-4411
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0025330 MD Primary

Addresses

Primary practice location

8028 Ritchie Hwy Ste 108
Pasadena, MD 21122-1020

Mailing address

6915 Diana Rd
Baltimore, MD 21209-1562
Phone (410) 486-1023

Other identifiers 1

IdentifierTypeStateIssuer
36564MedicaidMD

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
I20111221000103 MD Practitioner - GastroenterologyPractitioner - Internal Medicine 0547436610 Reassigns benefits to 1 organization
Practice locations: Pasadena, MD

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Maryland Medical College, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8028 Ritchie Hwy
Suite 108
Pasadena, MD 21122-1020
Phone (410) 766-4411

Hospital & facility affiliations

  • University of MD Baltimore Washington Medical Center Hospital, Glen Burnie, MD, CCN 210043

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy160
Upper gastrointestinal (GI) endoscopy for acid reflux58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Arundel Digestive Center CurrentSince Oct 1, 2015 Accepting new patients
Jeffrey E. Atkinson, MD LLC PastSince Jan 1, 2004 Accepting new patients

Locations

8028 Ritchie Hwy
Ste 142
Pasadena, MD 21122
Phone (410) 590-8920

Interoperability endpoints

  • Direct secure messaging: dfishbein6099@direct.umm.edu

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.

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295753523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 DIANA RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091562",
            "telephone_number": "410-486-1023",
            "fax_number": "410-486-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8028 RITCHIE HWY STE 108",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221020",
            "telephone_number": "410-766-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHBEIN",
        "first_name": "DAVID",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0025330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36564",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

Verify at the official NPI Registry.