Rian Jason Dickstein, MD
Individual provider Active NPI Urology Physician · Hanover, MD
NPI 1407026487 · NPPES record last updated May 27, 2025
Key facts
- NPI
- 1407026487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- D073974 (MD)
- Practice address
- 7580 Buckingham Blvd
Suite 110
Hanover, MD 21076-3181 - Phone
- (410) 760-9400
- Fax
- (410) 787-1911
- NPI assigned
- Mar 6, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Urology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Chesapeake Urology Associates LLC
Practice addresses (Care Compare)
1838 Greene Tree Rd
Suite 460
Baltimore, MD 21208-7113
Phone (410) 581-8140
201 Plumtree Rd
Suite 210
Bel Air, MD 21015-6053
Phone (410) 803-0089
6535 N Charles St
Suite 625
Baltimore, MD 21204-5835
Phone (410) 825-5454
Hospital & facility affiliations
- University of MD Baltimore Washington Medical Center
- Johns Hopkins Hospital, the
- Tidalhealth Peninsula Regional, Inc
- Tidalhealth Nanticoke, Inc.
- Saint Agnes Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120625000198 | MD | Practitioner - Urology | 7719164763 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D073974 | MD | MD | Urology Physician |
| N5652 | TX | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesapeake Urology Associates, LLC | Current | Accepting new patients | |
| Chesapeake Urology Associates LLC | Urology | Current |
Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Chesapeake Urology Associates, LLC | Urology | Past | Accepting new patients |
Locations
3407 Wilkens Ave
Ste 210
Baltimore, MD 21229
Phone (410) 644-0929
7580 Buckingham Blvd
Ste 110
Hanover, MD 21076
10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117
25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681
1838 Greene Tree Rd
Ste 460
Pikesville, MD 21208
Phone (410) 581-8140
Interoperability endpoints
- riandickstein@tsicua.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | N5652 | TX | |
| Urology Physician | 208800000X | D073974 | MD | Yes |
Addresses
Primary practice location
7580 Buckingham Blvd
Suite 110
Hanover, MD 21076-3181
Mailing address
10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366
Phone (443) 738-2872
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 310803100 | Medicaid | MD |
Other providers in Hanover, MD
- Maryann Darko
- David Bonebreak DDS Ms LLC
- Deevoted Dreamz LLC
- Lanora Denise Dennis
- Alvine Desamours
- Rachel Denise Diddlemeyer
- Discovery Practice Management, Inc.
- Deborah Divecchio
- Divinetouchhealthservices
- Francesca Dominguez
All providers in Hanover, MD · Urology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.