Active NPI
Paul Byron Fowler, M.D.
- Specialist
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- DOO44314
- Practice address
- 5601 Loch Raven Blvd
Baltimore, MD 21239-2905 - Phone
- (410) 532-5258
- Fax
- (410) 532-5276
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | DOO44314 | MD | Primary |
Addresses
Primary practice location
5601 Loch Raven Blvd
Baltimore, MD 21239-2905
Mailing address
9105 Franklin Square Dr
Ste 100
Baltimore, MD 21237-5333
Phone (410) 682-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48452 | Medicaid | MD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- West Virginia University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3400 N Calvert St
Radiation Oncology
Baltimore, MD 21218-2865
Phone (410) 554-4400
5601 Lloch Raven Blvd
Baltimore, MD 21239-2945
Phone (443) 444-8000
Hospital & facility affiliations
- Medstar Good Samaritan Hospital
- Medstar Franklin Square Medical Center
- Medstar Union Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.48 of 100
- Quality
- 88.6
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOO44314 | MD | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Radiation Oncology Affiliates of Maryland | Specialist | Current | Accepting new patients |
| Medstar Medical Group II LLC | Past | Accepting new patients |
Locations
5601 Loch Raven Blvd
Ste G4
Baltimore, MD 21239
5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714
3400 N Calvert St
Baltimore, MD 21218
Phone (410) 554-4400
12 Medstar Blvd
Ste 180
Bel Air, MD 21015
Phone (410) 515-6400
1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440
9105 Franklin Square Dr
Ste 100
Rosedale, MD 21237
Phone (410) 682-6800
9105 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 574-1330
Interoperability endpoints
- pfowler121546@direct.umm.edu
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 and National Provider Directory roles.
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
-
- Specialist
- Baltimore, MD
- NPI 1912977984
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1184712085
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1811084718
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1487741427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274918400000",
"number": "1316940588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9105 FRANKLIN SQUARE DR",
"address_2": "STE 100",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212375333",
"telephone_number": "410-682-6800",
"fax_number": "410-682-2783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 LOCH RAVEN BLVD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212392905",
"telephone_number": "410-532-5258",
"fax_number": "410-532-5276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "PAUL",
"middle_name": "BYRON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2010-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "DOO44314",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "48452",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.