Individual provider Active NPI

Atsuko Okabe, M.D.

  • Surgery Physician
  • Baltimore, MD
National Provider Identifier
1407868391
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0068149 Issued in MD
Practice address
9101 Franklin Square Dr
Suite 110
Baltimore, MD 21237-3936
Phone
(443) 777-6500
Fax
(443) 777-6249
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 32353 CO
Surgery Physician 208600000X D0068149 MD Primary

Addresses

Primary practice location

9101 Franklin Square Dr
Suite 110
Baltimore, MD 21237-3936

Mailing address

9101 Franklin Square Dr
Suite 110
Baltimore, MD 21237-3936
Phone (443) 777-6500

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
I20081111000508 MD Practitioner - General Surgery 9234192311 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

State licenses

LicenseStateTypeSpecialty
32353COMDSurgery Physician
D0068149MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2023 Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2023 Accepting new patients
Sterling Regional Medcenter Past Accepting new patients

Locations

9103 Franklin Square Dr
Ste 300
Baltimore, MD 21237
Phone (410) 574-3000

9101 Franklin Square Dr
Ste 110
Baltimore, MD 21237
Phone (410) 628-8200

12 Medstar Blvd
Bel Air, MD 21015
Phone (410) 877-8087

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

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

1300 Bellona Ave
Ste B
Lutherville, MD 21093
Phone (410) 583-0300

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

9101 Franklin Square Dr
Rosedale, MD 21237
Phone (443) 777-2000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1407868391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 FRANKLIN SQUARE DR",
            "address_2": "SUITE 110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373936",
            "telephone_number": "443-777-6500",
            "fax_number": "443-777-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 FRANKLIN SQUARE DR",
            "address_2": "SUITE 110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373936",
            "telephone_number": "443-777-6500",
            "fax_number": "443-777-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKABE",
        "first_name": "ATSUKO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "32353",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0068149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.