Individual provider Active NPI

Ira Gubernick, MD

  • Orthopaedic Surgery Physician
  • Baltimore, MD
National Provider Identifier
1396803847
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D38112 Issued in MD
Practice address
1050 S North PT Rd
Ste 101
Baltimore, MD 21224
Phone
(410) 282-7600
Fax
(410) 282-4802
NPI assigned
Dec 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X D38112 MD Primary

Addresses

Primary practice location

1050 S North PT Rd
Ste 101
Baltimore, MD 21224

Mailing address

1050 S North PT Rd
Ste 101
Baltimore, MD 21224
Phone (410) 282-7600

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
I20101116000913 MD Practitioner - Orthopedic Surgery 9931286283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Jul 15, 2015 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jul 15, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1050 S North Point Rd
Ste 101
Baltimore, MD 21224
Phone (410) 282-7210

9101 Franklin Square Dr
Ste 206
Baltimore, MD 21237
Phone (410) 687-2300

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

9101 Franklin Square Dr
Ste 200
Rosedale, MD 21237
Phone (410) 554-2715

9110 Philadelphia Rd
Ste 200
Rosedale, MD 21237
Phone (410) 282-7600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396803847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 S NORTH PT RD",
            "address_2": "STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21224",
            "telephone_number": "410-282-7600",
            "fax_number": "410-282-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 S NORTH PT RD",
            "address_2": "STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21224",
            "telephone_number": "410-282-7600",
            "fax_number": "410-282-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUBERNICK",
        "first_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D38112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.