Individual provider Active NPI

Gabriel Alfonso Del Corral, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Westminster, MD
National Provider Identifier
1649390923
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
D0075625 Issued in MD
Practice address
193 Stoner Ave
Suite 220
Westminster, MD 21157-5587
Phone
(410) 751-5606
Fax
(410) 751-5603
NPI assigned
Mar 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X D0075625 MD Primary

Addresses

Primary practice location

193 Stoner Ave
Suite 220
Westminster, MD 21157-5587

Mailing address

193 Stoner Ave
Suite 220
Westminster, MD 21157-5587
Phone (410) 751-5606

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
I20130812000230 MD Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 4587806195 Reassigns benefits to 2 organizations
I20200102001846 DC Practitioner - Plastic and Reconstructive Surgery 4587806195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

106 Irving St NW 4200
MMG at WHC
Washington, DC 20010-2979
Phone (202) 877-2200

9103 Franklin Square Dr
Baltimore, MD 21237-3900
Phone (443) 777-2663

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy30
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0075625MDMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Dec 29, 2018 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 29, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Franklin Square Hospital Center, Inc Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

106 Irving St NW
Ste 4200
Washington, DC 20010
Phone (202) 877-2200

106 Irving St NW
Washington, DC 20010
Phone (202) 877-0275

9105 Franklin Square Dr
Ste 214
Baltimore, MD 21237
Phone (410) 391-9144

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

9103 Franklin Square Dr
Rosedale, MD 21237
Phone (443) 777-7147

193 Stoner Ave
Ste 220
Westminster, MD 21157
Phone (410) 871-2204

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1649390923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 STONER AVE",
            "address_2": "SUITE 220",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575587",
            "telephone_number": "410-751-5606",
            "fax_number": "410-751-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 STONER AVE",
            "address_2": "SUITE 220",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575587",
            "telephone_number": "410-751-5606",
            "fax_number": "410-751-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL CORRAL",
        "first_name": "GABRIEL",
        "middle_name": "ALFONSO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MD",
            "license": "D0075625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.