Individual provider Active NPI

Albert Shoumer, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Baltimore, MD
National Provider Identifier
1609969310
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00392 Issued in MD
Practice address
40 S. Dundalk Ave
Baltimore, MD 21222
Phone
(410) 282-6434
Fax
(410) 284-4636
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 00392 MD Primary

Addresses

Primary practice location

40 S. Dundalk Ave
Baltimore, MD 21222

Mailing address

40 S. Dundalk Ave
Baltimore, MD 21222
Phone (410) 282-6434

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070926001197 MD Practitioner - Podiatry 5496840167 Practice locations: Dundalk, MD

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00392MDMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Associates, P.a. Foot & Ankle Surgery Past Accepting new patients

Organizations & group practices 1

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609969310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 S. DUNDALK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21222",
            "telephone_number": "410-282-6434",
            "fax_number": "410-284-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S. DUNDALK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21222",
            "telephone_number": "410-282-6434",
            "fax_number": "410-284-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOUMER",
        "first_name": "ALBERT",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "00392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.