Individual provider Active NPI

Chelsea Smith Dewberry, M.D.

  • Internal Medicine Physician
  • Catonsville, MD
National Provider Identifier
1396372173
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D96210 Issued in MD
Practice address
6501 Baltimore National Pike Ste D
Catonsville, MD 21228-3923
Phone
(667) 234-2100
Fax
(410) 744-5117
NPI assigned
Mar 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D96210 MD Primary
Internal Medicine Physician 207R00000X 12152 GA

Addresses

Primary practice location

6501 Baltimore National Pike Ste D
Catonsville, MD 21228-3923

Mailing address

6501 Baltimore National Pike Ste D
Catonsville, MD 21228-3923
Phone (667) 234-2100

Other names 1

  • Chelsea Smith Former name

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
I20230531000047 MD Practitioner - Internal Medicine 4880051200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Medical Group IncGroup PAC ID 7416037924, 77 clinicians

Practice addresses (Care Compare)

6501 Baltimore National Pike
Suite D
Catonsville, MD 21228-3923
Phone (667) 234-2100

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Columbia, MD, CCN 217071
  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
  • Home Call, Inc Home health agency, Westminster, MD, CCN 217115
  • Umd Rehabilitation & Orthopaedic Institute Hospital, Baltimore, MD, CCN 210058
  • Saint Agnes Hospital Hospital, Baltimore, MD, CCN 210011
  • Northwest Hospital Center Hospital, Randallstown, MD, CCN 210040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12152GAMDInternal Medicine Physician
D96210MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Medical Group, Inc Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients

Locations

700 Geipe Rd
Ste 200
Catonsville, MD 21228
Phone (410) 292-0038

6501 Baltimore National Pike
Ste D
Catonsville, MD 21228
Phone (667) 234-2100

2850 North Ridge Rd
Ste 103
Ellicott City, MD 21043
Phone (410) 465-8119

3585 Washington Blvd
Halethorpe, MD 21227

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1396372173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 BALTIMORE NATIONAL PIKE STE D",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283923",
            "telephone_number": "667-234-2100",
            "fax_number": "410-744-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 BALTIMORE NATIONAL PIKE STE D",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283923",
            "telephone_number": "667-234-2100",
            "fax_number": "410-744-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWBERRY",
        "first_name": "CHELSEA",
        "middle_name": "SMITH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D96210",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "12152",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "SMITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.