Individual provider Active NPI

Arturo Esteban Betancourt, MD

  • Ophthalmology Physician
  • Glen Burnie, MD
National Provider Identifier
1457356271
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0036550 Issued in MD
Practice address
200 Hospital Dr
Ste 600
Glen Burnie, MD 21061-5865
Phone
(410) 766-3937
Fax
(410) 761-4386
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0036550 MD Primary

Addresses

Primary practice location

200 Hospital Dr
Ste 600
Glen Burnie, MD 21061-5865

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
284681100MedicaidMD

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
I20100928000198 MD Practitioner - Ophthalmology 2466424379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0036550MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arturo Betancourt, M.D., P.a. Ophthalmology CurrentSince May 1, 1997 Accepting new patients
Arturo Betancourt, M.D., P.a. CurrentSince Apr 11, 1997 Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: abetancourt20359@direct.umm.edu

Organizations & group practices 2

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1457356271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "address_2": "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": "STE 600",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615865",
            "telephone_number": "410-766-3937",
            "fax_number": "410-761-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURT",
        "first_name": "ARTURO",
        "middle_name": "ESTEBAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0036550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284681100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.