Individual provider Active NPI

Deborah Watson Fitzpatrick, M.D.

  • Internal Medicine Physician
  • Columbia, MD
National Provider Identifier
1619939907
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D59736 Issued in MD
Practice address
5457 Twin Knolls Rd Ste 100
Columbia, MD 21045-3263
Phone
(410) 689-7400
NPI assigned
Apr 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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 D59736 MD Primary

Addresses

Primary practice location

5457 Twin Knolls Rd Ste 100
Columbia, MD 21045-3263

Mailing address

6400 Shafer CT Ste 700
Rosemont, IL 60018-4989
Phone (346) 376-1702

Other identifiers 3

IdentifierTypeStateIssuer
P00122748OtherMDR/R MEDICARE#
CN6601OtherMDR/R MEDICARE GROUP #
402917800MedicaidMD

Other names 1

  • Dr. Deborah Watson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031205000214 MD Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 0941105563 Reassigns benefits to 1 organization
I20220525000579 DC Practitioner - Internal Medicine 0941105563 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D59736MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc Internal Medicine Past Accepting new patients
Northwest Hospital Center, Inc Past Accepting new patients
Northwest Hospital Center, Inc Past Accepting new patients
Seasons Hospice & Palliative Care of Maryland, LLC Past Accepting new patients
Northwest Hospital Center, Inc Past Accepting new patients
Northwest Hospital Center, Inc. Past Accepting new patients
Northwest Hospital Center, Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/136fea15-c667-40bc-9ed2-b1115d62123b/

Organizations & group practices 8

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1619939907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SHAFER CT STE 700",
            "city": "ROSEMONT",
            "state": "IL",
            "postal_code": "600184989",
            "telephone_number": "346-376-1702",
            "fax_number": "224-532-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5457 TWIN KNOLLS RD STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453263",
            "telephone_number": "410-689-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "DEBORAH",
        "middle_name": "WATSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D59736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R/R MEDICARE#",
            "identifier": "P00122748",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R/R MEDICARE GROUP #",
            "identifier": "CN6601",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402917800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "WATSON",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.