Active NPI
Deborah Watson Fitzpatrick, M.D.
- Internal Medicine Physician
- Columbia, MD
National Provider Identifier
1619939907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D59736
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00122748 | Other | MD | R/R MEDICARE# |
| CN6601 | Other | MD | R/R MEDICARE GROUP # |
| 402917800 | Medicaid | MD |
Other names 1
- Dr. Deborah Watson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D59736 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
dba AccentCare Medical Group of Maryland
- Hospice and Palliative Medicine (Family Medicine) Physician
- Columbia, MD
- NPI 1376894931
DC
-
dba Northwest Cardiology
- Cardiovascular Disease Physician
- Randallstown, MD
- NPI 1437255734
-
dba Northwest Wound Clinic
- Surgery Physician
- Randallstown, MD
- NPI 1447354790
-
dba Northwest Hand Clinic
- Surgery of the Hand (Surgery) Physician
- Randallstown, MD
- NPI 1982708228
-
dba Northwest Medical Associates
- Pulmonary Disease Physician
- Randallstown, MD
- NPI 1740290980
-
dba AccentCare Hospice & Palliative Care of Maryland
- Community Based Hospice Care Agency
- Columbia, MD
- NPI 1003813718
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1255359782
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.