Organization Active NPI

Arturo Betancourt, M.D., P.a.

  • Ophthalmology Physician
  • Glen Burnie, MD
National Provider Identifier
1396958153
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0036550 Issued in MD
Legal business name
ARTURO BETANCOURT, M.D., P.A.
Practice address
200 Hospital Dr
Suite 600
Glen Burnie, MD 21061-5884
Phone
(410) 766-3937
Fax
(410) 761-4386
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Authorized official

Name
Shruti Aggarwal, MDNPI 1518372853
Title
Owner, MD
Phone
(410) 766-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X D0036550 MD Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

200 Hospital Dr
Suite 600
Glen Burnie, MD 21061-5884

Mailing address

200 Hospital Dr Ste 600
Glen Burnie, MD 21061-5865
Phone (410) 766-3937

Other identifiers 2

IdentifierTypeStateIssuer
1202530001OtherDMERC
605221500MedicaidMD

Other names 2

  • Baltimore Washington Eye Center Doing business as
  • Arturo Betancourt MD PA Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040811000482 MD Part B Supplier - Clinic/Group Practice 4385616291 Receives reassigned benefits from 8 practitioners
Practice locations: Fulton, MD; Glen Burnie, MD

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Arturo Betancourt MD PA6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1396958153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR STE 600",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615865",
            "telephone_number": "410-766-3937",
            "fax_number": "410-761-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "address_2": "SUITE 600",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615884",
            "telephone_number": "410-766-3937",
            "fax_number": "410-761-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTURO BETANCOURT, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "AGGARWAL",
        "authorized_official_first_name": "SHRUTI",
        "authorized_official_title_or_position": "OWNER, MD",
        "authorized_official_telephone_number": "410-766-3937",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0036550",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "1202530001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "605221500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baltimore Washington Eye Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arturo Betancourt MD PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.