Individual provider Active NPI

William Alexander Dabbs, M.D.

  • Family Medicine Physician
  • Annapolis, MD
National Provider Identifier
1326049040
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0024768 Issued in MD
Practice address
104 Ridgely Ave Ste 302
Suite 200
Annapolis, MD 21401-1441
Phone
(410) 280-9500
Fax
(443) 214-5168
NPI assigned
Aug 3, 2005
Last updated
Feb 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0024768 MD Primary

Addresses

Primary practice location

104 Ridgely Ave Ste 302
Suite 200
Annapolis, MD 21401-1441

Mailing address

104 Ridgely Ave Ste 302
Suite 200
Annapolis, MD 21401-1441
Phone (410) 280-9500

Other identifiers 10

IdentifierTypeStateIssuer
023921OtherMDJHHC PROVIDER NUMBER
7605-0017OtherMDCAREFIRST BLUECHOICE
315231600MedicaidMD
4067335OtherMDAETNA (NEW)
1575259OtherMDCIGNA PIN
425645-04OtherMDCAREFIRST MD RENDERING
P14386OtherMDCAREFIRST MPOS
872840OtherMDMAMSI PRIMARY CARE
080148692OtherMDRR MEDICARE
272840OtherMDMAMSI SPECIALIST

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
I20100810000136 MD Practitioner - Family Practice 1254465446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Annapolis Family Medicine LLCGroup PAC ID 7416186838, 7 clinicians

Practice addresses (Care Compare)

104 Ridgely Ave
Suite 302
Annapolis, MD 21401-1441
Phone (410) 280-9500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.43 of 100Reported as individual
Quality
57.45
Promoting interoperability
86
Improvement activities
40
Cost
78.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0024768MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Annapolis Family Medicine LLC CurrentSince Jan 1, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

104 Ridgely Ave
Ste 302
Annapolis, MD 21401
Phone (410) 280-9500

703 Giddings Ave
Ste M
Annapolis, MD 21401
Phone (410) 224-7795

703 Giddings Ave
Ste M2
Annapolis, MD 21401
Phone (410) 280-9500

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 5

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1326049040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 RIDGELY AVE STE 302",
            "address_2": "SUITE 200",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011441",
            "telephone_number": "410-280-9500",
            "fax_number": "443-214-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 RIDGELY AVE STE 302",
            "address_2": "SUITE 200",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011441",
            "telephone_number": "410-280-9500",
            "fax_number": "443-214-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABBS",
        "first_name": "WILLIAM",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0024768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JHHC PROVIDER NUMBER",
            "identifier": "023921",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUECHOICE",
            "identifier": "7605-0017",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315231600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA (NEW)",
            "identifier": "4067335",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PIN",
            "identifier": "1575259",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD RENDERING",
            "identifier": "425645-04",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MPOS",
            "identifier": "P14386",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI PRIMARY CARE",
            "identifier": "872840",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080148692",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI SPECIALIST",
            "identifier": "272840",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.