Individual provider Active NPI

Jerome Benjamin Gabry, MD

  • Ophthalmology Physician
  • Silver Spring, MD
National Provider Identifier
1356342117
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D43931 Issued in MD
Practice address
2101 Medical Park Dr Ste 101
Silver Spring, MD 20902-4053
Phone
(301) 681-6600
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D43931 MD Primary

Addresses

Primary practice location

2101 Medical Park Dr Ste 101
Silver Spring, MD 20902-4053

Mailing address

2101 Medical Park Dr Ste 101
Silver Spring, MD 20902-4053
Phone (301) 681-6600

Other identifiers 1

IdentifierTypeStateIssuer
206601701MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20110107000377 DC Practitioner - Ophthalmology 0547459448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Washington University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ladas Eye Group PAGroup PAC ID 6406822584, 6 clinicians

Practice addresses (Care Compare)

2101 Medical Park Dr
Suite 101
Silver Spring, MD 20902-4053
Phone (301) 681-6600

Merit-based Incentive Payment System (MIPS)

Final score
91.45 of 100Reported as group
Quality
100
Improvement activities
40
Cost
71.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D43931MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ladas Eye Group PA Ophthalmology CurrentSince Oct 14, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2101 Medical Park Dr
Ste 101
Silver Spring, MD 20902
Phone (301) 681-6600

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.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1356342117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 MEDICAL PARK DR STE 101",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024053",
            "telephone_number": "301-681-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 MEDICAL PARK DR STE 101",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024053",
            "telephone_number": "301-681-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRY",
        "first_name": "JEROME",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D43931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206601701",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.