Individual provider Active NPI

Marc G Dubin, M.D.

  • Otolaryngology Physician
  • Baltimore, MD
National Provider Identifier
1407897770
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
D62319 Issued in MD
Practice address
6565 N Charles St Ste 601
Physicians Pavilion East
Baltimore, MD 21204-5801
Phone
(410) 821-5151
NPI assigned
Jun 9, 2006
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
Otolaryngology Physician 207Y00000X D62319 MD Primary

Addresses

Primary practice location

6565 N Charles St Ste 601
Physicians Pavilion East
Baltimore, MD 21204-5801

Mailing address

6565 N Charles St Ste 601
Physicians Pavilion East
Baltimore, MD 21204-5801
Phone (410) 821-5151

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
I20050721000253 MD Practitioner - Otolaryngology 1850362294 Reassigns benefits to 2 organizations
Practice locations: Baltimore, MD

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Perelman School of Med at the University of Pennsylvania, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greater Baltimore Medical CenterGroup PAC ID 1759276975, 350 clinicians
Centers for Advanced ENT Care LLCGroup PAC ID 1658647359, 103 clinicians

Practice addresses (Care Compare)

6535 N Charles St
Baltimore, MD 21204-5829

6565 N Charles St
Suite 601
Baltimore, MD 21204-5801
Phone (410) 821-5151

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D62319MDMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced ENT Care, LLC Otolaryngology CurrentSince Oct 1, 2017 Accepting new patients
Greater Baltimore Medical Center, Inc Current Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Dec 20, 2009 Accepting new patients
Greater Baltimore Medical Center, Inc. Otolaryngology CurrentSince Dec 20, 2009 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Georgia Nasal & Sinus Institute, PC Otolaryngology PastSince Sep 1, 2017 Accepting new patients
Cumberland Valley ENT Consultants Otolaryngology Past Accepting new patients

Locations

6535 N Charles St
Ste 250
Towson, MD 21204
Phone (443) 849-2140

120 Sister Pierre Dr
Ste 202
Towson, MD 21204
Phone (410) 216-4945

6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196

6565 N Charles St
Ste 601
Towson, MD 21204
Phone (410) 821-5151

Organizations & group practices 7

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 1

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407897770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 N CHARLES ST STE 601",
            "address_2": "PHYSICIANS PAVILION EAST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212045801",
            "telephone_number": "410-821-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 N CHARLES ST STE 601",
            "address_2": "PHYSICIANS PAVILION EAST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212045801",
            "telephone_number": "410-821-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBIN",
        "first_name": "MARC",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D62319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.