Steven Gerald Proshan, MD

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

D0056357 Issued in MD

Practice address

2002 Medical Parkway
Suite 360
Annapolis, MD 21401

Phone

(410) 573-1699

Fax

(410) 573-5311

NPI assigned

Sep 25, 2006

Last updated

Oct 17, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Colorectal Surgery (Proctology)

Education

Columbia University College of Physicians and Surgeons, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Annapolis Colon and Rectal Surgeons LLCGroup PAC ID 8729304415, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8193/brand/1/csg/1/fhir/r4
• Direct secure messaging: steven.proshan.1@8193.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Annapolis Colon and Rectal Surgeons LLC

  • Colon & Rectal Surgery Physician
  • Annapolis, MD
  • NPI 1447439088
  Medicare reassignment Care Compare group NPD Authorized official
• Fares Surgical Associates, PA

  • Surgery Physician
  • Trenton, NJ
  • NPI 1629024757
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Luminis Health Anne Arundel Medical Center, Inc.

  dba Conexus Laboratories Inc.

  • Clinical Medical Laboratory
  • Annapolis, MD
  • NPI 1356885032

  Hospital

  Care Compare affiliation
• Luminis Health Anne Arundel Medical Center, Inc.

  • General Acute Care Hospital
  • Annapolis, MD
  • NPI 1477517225
  Care Compare affiliation

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1487754933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 MEDICAL PARKWAY",
            "address_2": "SUITE 360",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "410-573-1699",
            "fax_number": "410-573-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 MEDICAL PARKWAY",
            "address_2": "SUITE 360",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "410-573-1699",
            "fax_number": "410-573-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSHAN",
        "first_name": "STEVEN",
        "middle_name": "GERALD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0056357",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MD",
            "license": "D0056357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSMD",
            "identifier": "KCT5",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSDC",
            "identifier": "75440001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Project Chesapeake, LLC
• Project Chesapeake, LLC
• Project Chesapeake, LLC
• Project Chesapeake, LLC
• Promoting Positive Change, LLC
• Susan Prosser
• Proto360, LLC
• Proud Moments Licensed Behavior Analysts PLLC
• Shaylyn Proulx, CRPN
• Elyse Provencher, L.AC., M.AC.

• Colon & Rectal Surgery Physician in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Colon & Rectal Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.