Individual provider Active NPI

Andrew M Averbach, M.D.

  • Surgery Physician
  • Catonsville, MD
National Provider Identifier
1598832990
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0056938 Issued in MD
Practice address
700 Geipe Rd
Suite 274
Catonsville, MD 21228-4147
Phone
(667) 234-8725
Fax
(667) 234-8726
NPI assigned
Nov 29, 2006
Last updated
Apr 25, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D0056938 MD Primary

Addresses

Primary practice location

700 Geipe Rd
Suite 274
Catonsville, MD 21228-4147

Mailing address

700 Geipe Rd
Suite 274
Catonsville, MD 21228-4147
Phone (667) 234-8725

Other identifiers 1

IdentifierTypeStateIssuer
401671800MedicaidMD

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
I20080630000574 MD Practitioner - General Surgery 5395638209 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0056938MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Agnes Healthcare Inc Surgery CurrentSince Apr 30, 2014 Accepting new patients
St Agnes Healthcare Inc CurrentSince Apr 30, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

700 Geipe Rd
Ste 203
Catonsville, MD 21228
Phone (410) 368-8725

700 Geipe Rd
Ste 274
Catonsville, MD 21228
Phone (667) 234-8725

Organizations & group practices 3

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1598832990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 GEIPE RD",
            "address_2": "SUITE 274",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284147",
            "telephone_number": "667-234-8725",
            "fax_number": "667-234-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GEIPE RD",
            "address_2": "SUITE 274",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284147",
            "telephone_number": "667-234-8725",
            "fax_number": "667-234-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERBACH",
        "first_name": "ANDREW",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0056938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401671800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.