NPIMap

Individual provider Active NPI

Elliott Gorbaty, M.D.

  • Internal Medicine Physician
  • Glen Burnie, MD
National Provider Identifier
1528043049
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0020094 Issued in MD
Practice address
1411 Madison Park Dr
Suite 2B
Glen Burnie, MD 21061-6188
Phone
(410) 553-9571
Fax
(410) 553-9573
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0020094 MD Primary
Pulmonary Disease Physician 207RP1001X D0020094 MD

Addresses

Primary practice location

1411 Madison Park Dr
Suite 2B
Glen Burnie, MD 21061-6188

Mailing address

1411 Madison Park Dr
Suite 2B
Glen Burnie, MD 21061-6185
Phone (410) 553-9571

Other identifiers 1

IdentifierTypeStateIssuer
783051300MedicaidMD

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
I20091222000449 MD Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3072653096 Practice locations: Glen Burnie, MD

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1411 Madison Park Dr
Glen Burnie, MD 21061-6188
Phone (410) 553-9571

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
  • Amedisys Home Health of Maryland Home health agency, Glen Burnie, MD, CCN 217108
  • Centerwell Home Health Home health agency, Columbia, MD, CCN 217071
  • Home Call, Inc Home health agency, Westminster, MD, CCN 217115
  • Amedisys Home Health Home health agency, Westminster, MD, CCN 217048
  • Hospice of the Chesapeake, Inc. Hospice, Pasadena, MD, CCN 211509
  • Gilchrist Hospice Care, Inc Hospice, Hunt Valley, MD, CCN 211526

Merit-based Incentive Payment System (MIPS)

Final score
23.64 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0020094MDMDPulmonary Disease Physician

Interoperability endpoints

  • Direct secure messaging: egorbaty21512@direct.umm.edu

Hospital & facility affiliations 11

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1528043049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 MADISON PARK DR",
            "address_2": "SUITE 2B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616185",
            "telephone_number": "410-553-9571",
            "fax_number": "410-553-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 MADISON PARK DR",
            "address_2": "SUITE 2B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616188",
            "telephone_number": "410-553-9571",
            "fax_number": "410-553-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORBATY",
        "first_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0020094",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D0020094",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "783051300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.