Ebenezer Nettey, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

D0036594 Issued in MD

Practice address

10401 Hospital Drive
Suite 103
Clinton, MD 20735

Phone

(301) 932-8580

NPI assigned

Jan 19, 2007

Last updated

Feb 14, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

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 2

Merit-based Incentive Payment System (MIPS)

Final score

82.34 of 100Reported as group

Quality

67.9

Promoting interoperability

100

Improvement activities

40

Cost

69.47

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187

  DC

  Medicare reassignment
• Min-OBGYN of Maryland PC

  • Gynecology Physician
  • Clinton, MD
  • NPI 1205324225
  NPD (past) Authorized official

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1316090855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 HOSPITAL DRIVE",
            "address_2": "SUITE 103",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "20735",
            "telephone_number": "301-856-0334",
            "fax_number": "301-856-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 HOSPITAL DRIVE",
            "address_2": "SUITE 103",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "20735",
            "telephone_number": "301-932-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETTEY",
        "first_name": "EBENEZER",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MD",
            "license": "D0036594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36594100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• National Vision Inc (America's Best Contacts & Eyeglasses)
• Ronard Tata Ndan, 171M00000X
• Nelson Benjers, M.D.,P.C.
• Kiomi Nelson
• Margarate Melima Nesoa I, CRNP
• New Direction Healthcare LLC
• Merle Newkirk
• Jacqueline McDarry Newsome-Williams, PH.D.RN,ANP-BC, FNP
• Terry Newton
• Unknown Ngoh Elody Enjei

• Gynecology Physician in Clinton, MD
• Providers in Clinton, MD by specialty
• Gynecology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.