NPIMap

Individual provider Active NPI

Benjamin V Dubois, MD

  • Cardiovascular Disease Physician
  • Baltimore, MD
National Provider Identifier
1457354805
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0029391 Issued in MD
Practice address
1838 Greene Tree Rd
Ste 535
Baltimore, MD 21208-7104
Phone
(410) 469-4000
Fax
(410) 469-4074
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X D0029391 MD
Cardiovascular Disease Physician 207RC0000X D0029391 MD Primary

Addresses

Primary practice location

1838 Greene Tree Rd
Ste 535
Baltimore, MD 21208-7104

Mailing address

1838 Greene Tree Rd
Suite 535
Baltimore, MD 21208-6391
Phone (410) 469-4000

Other identifiers 1

IdentifierTypeStateIssuer
398511300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110311000465 MD Practitioner - Cardiovascular Disease (Cardiology) 4486608676 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
State University of New York Downstate Medical Center, 1979
Medicare assignment
May accept Medicare assignment
Group practices
Sinai Hospital of Baltimore, IncGroup PAC ID 0941112346, 373 clinicians

Practice addresses (Care Compare)

1838 Greene Tree Rd
Suite 535
Pikesville, MD 21208-7104
Phone (410) 469-4937

2401 E Belvedere Ave
Baltimore, MD 21215-5216

2401 W Belvedere Ave
Baltimore, MD 21215-5271

2411 W Belvedere Ave
Rehab Medicine Associates
Baltimore, MD 21215-5271
Phone (410) 601-8691

410 Malcolm Dr
Suite a
Westminster, MD 21157-6160
Phone (410) 876-7772

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.23 of 100Reported as group
Quality
60.26
Promoting interoperability
100
Improvement activities
40
Cost
76.75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Lifebridge Community Physicians, Inc Cardiovascular Disease Current Accepting new patients
Lifebridge Community Physicians Inc Cardiovascular Disease CurrentSince Jul 1, 2011 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jan 1, 1993 Accepting new patients
Sinai Hospital of Baltimore Inc Cardiovascular Disease CurrentSince Jan 1, 1993 Accepting new patients
Lifebridge Community Physicians, Inc Cardiovascular Disease CurrentSince Jul 1, 2011 Accepting new patients
Saint Joseph Medical Center , Inc. Past Accepting new patients
Lifebridge Community Physicians, Inc Past Accepting new patients
Sinai Hospital of Baltimore Inc Cardiovascular Disease Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Midatlantic Cardiovascular Associates PA Cardiovascular Disease Past Accepting new patients
St. Joseph Physician Enterprise Past Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

1838 Greene Tree Rd
Ste 535
Pikesville, MD 21208
Phone (410) 469-4937

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

Interoperability endpoints

  • Direct secure messaging: bdubois120820@direct.umm.edu

Organizations & group practices 12

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 3

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1457354805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD",
            "address_2": "SUITE 535",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212086391",
            "telephone_number": "410-469-4000",
            "fax_number": "410-469-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD",
            "address_2": "STE 535",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212087104",
            "telephone_number": "410-469-4000",
            "fax_number": "410-469-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "BENJAMIN",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MD",
            "license": "D0029391",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0029391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "398511300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.