Individual provider Active NPI

Walid Barbour, MD

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1578744009
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0067741 Issued in MD
Practice address
1100 E 33Rd St Ste 109
Baltimore, MD 21218-6795
Phone
(443) 290-6514
Fax
(833) 464-5405
NPI assigned
Nov 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0067741 MD Primary

Addresses

Primary practice location

1100 E 33Rd St Ste 109
Baltimore, MD 21218-6795

Mailing address

1100 E 33Rd St Ste 109
Baltimore, MD 21218-6795
Phone (443) 290-6514

Other practice location 1

6660 Security Blvd Ste 1
Woodlawn, MD 21207-4012
Phone (443) 380-0552

Other practice location 2

3541 Washington Blvd Ste 110
Halethorpe, MD 21227-1623
Phone (443) 543-9914

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
I20080815000494 MD Practitioner - Internal Medicine 1355415449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sage Health Maryland LLCGroup PAC ID 7012368251, 6 clinicians

Practice addresses (Care Compare)

3541 Washington Blvd
Suite 110
Arbutus, MD 21227-1623
Phone (443) 543-9914

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0067741MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Health Maryland LLC CurrentSince Mar 4, 2024 Accepting new patients
Medstar Union Memorial Physicians LLC Past Accepting new patients

Locations

1100 E 33rd St
Ste 109
Baltimore, MD 21218
Phone (443) 290-6514

3541 Washington Blvd
Ste 110
Halethorpe, MD 21227
Phone (443) 543-9914

6660 Security Blvd
Ste 1
Woodlawn, MD 21207
Phone (443) 380-0552

Interoperability endpoints

  • Direct secure messaging: walid.barbour.1@27478.direct.athenahealth.com

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": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1578744009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E 33RD ST STE 109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212186795",
            "telephone_number": "443-290-6514",
            "fax_number": "833-464-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E 33RD ST STE 109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212186795",
            "telephone_number": "443-290-6514",
            "fax_number": "833-464-5405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6660 Security Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Woodlawn",
            "state": "MD",
            "postal_code": "212074012",
            "country_code": "US",
            "telephone_number": "443-380-0552",
            "fax_number": "833-471-3075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3541 Washington Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Halethorpe",
            "state": "MD",
            "postal_code": "212271623",
            "country_code": "US",
            "telephone_number": "443-543-9914",
            "fax_number": "833-464-4420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARBOUR",
        "first_name": "WALID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-27",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0067741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.