Active NPI
Rene Lewis Gelber, M.D.
- Surgery Physician
- Laurel, MD
National Provider Identifier
1376513390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D0017502
- Practice address
- 14201 Laurel Park Dr
Suite 223
Laurel, MD 20707-5203 - Phone
- (301) 490-6098
- Fax
- (301) 490-6190
- NPI assigned
- Jan 23, 2006
- Last updated
- May 28, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | D0017502 | MD | |
| Surgery Physician | 208600000X | D0017502 | MD | Primary |
Addresses
Primary practice location
14201 Laurel Park Dr
Suite 223
Laurel, MD 20707-5203
Mailing address
14201 Laurel Park Dr
Suite 223
Laurel, MD 20707-5203
Phone (301) 490-6098
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3921 | Other | MD | MD MEDICARE ID NUMBER |
| 268771200 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0017502 | MD | MD | Surgery Physician |
Organizations & group practices 1
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.
-
- Surgery Physician
- Laurel, MD
- NPI 1669700340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306540800000",
"number": "1376513390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14201 LAUREL PARK DR",
"address_2": "SUITE 223",
"city": "LAUREL",
"state": "MD",
"postal_code": "207075203",
"telephone_number": "301-490-6098",
"fax_number": "301-490-6190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14201 LAUREL PARK DR",
"address_2": "SUITE 223",
"city": "LAUREL",
"state": "MD",
"postal_code": "207075203",
"telephone_number": "301-490-6098",
"fax_number": "301-490-6190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELBER",
"first_name": "RENE",
"middle_name": "LEWIS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2011-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MD",
"license": "D0017502",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D0017502",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD MEDICARE ID NUMBER",
"identifier": "3921",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "268771200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.