Timothy P. Passarello, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9139 Issued in MD

Practice address

6200 Georgetown Blvd
Eldersburg, MD 21784-6416

Phone

(410) 549-1200

NPI assigned

Jul 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Timothy P. Passarello, DDS, PA

  • Dental Clinic/Center
  • Eldersburg, MD
  • NPI 1194088955
  NPD (past) Authorized official

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508864745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 GEORGETOWN BLVD",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846416",
            "telephone_number": "410-549-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 GEORGETOWN BLVD",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846416",
            "telephone_number": "410-549-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSARELLO",
        "first_name": "TIMOTHY",
        "middle_name": "P.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "9139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela A Pagano-Pickrel, D.O.
• Charles Paul Palamone, CHIROPRACTOR
• Elizabeth A Pallan, M.D.
• Thomas Park, PHARM D
• Alexandra Nicole Passarello, DDS
• Patapsco Acupuncture & Integrative Medicine
• Alana Pedigo
• Rhanee Perkins, DNP, CRNP, PMHNP-BC
• Edward Lee Perl, M.D.
• Azalia Pettway, LCSWC

• General Practice Dentistry in Eldersburg, MD
• Providers in Eldersburg, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.