Individual provider Active NPI

Robert A Clayton, M.D.

  • Otolaryngology Physician
  • Towson, MD
National Provider Identifier
1518077767
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MDD036160 Issued in MD
Practice address
120 Sister Pierre Dr
Suite 202
Towson, MD 21204-7516
Phone
(410) 825-3900
Fax
(410) 321-9404
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 MDD036160 MD Primary

Addresses

Primary practice location

120 Sister Pierre Dr
Suite 202
Towson, MD 21204-7516

Mailing address

1904 Broadway Rd
Lutherville, MD 21093-1403
Phone (410) 560-7975

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
I20110127000896 MD Practitioner - Otolaryngology 4789863325 Reassigns benefits to 1 organization
Practice locations: Bel Air, MD; Towson, MD

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Maryland School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2014 S Tollgate Rd
Suite 101
Bel Air, MD 21015-5906
Phone (410) 569-7200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MDD036160MDMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Baltimore Medical Center, Inc. CurrentSince Apr 20, 2013 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Apr 20, 2013 Accepting new patients
Greater Baltimore Medical Center, Inc Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: rclayton115873@direct.umm.edu

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518077767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 BROADWAY RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210931403",
            "telephone_number": "410-560-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SISTER PIERRE DR",
            "address_2": "SUITE 202",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047516",
            "telephone_number": "410-825-3900",
            "fax_number": "410-321-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "MDD036160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.