Individual provider Active NPI

Kealan Hobelmann, M.D.

  • Otolaryngology Physician
  • Olney, MD
National Provider Identifier
1649703273
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
D0093794 Issued in MD
Practice address
18111 Prince Philip Dr Ste 224
Olney, MD 20832-1504
Phone
(301) 774-0074
Fax
(301) 774-0640
NPI assigned
Apr 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X D0093794 MD Primary

Addresses

Primary practice location

18111 Prince Philip Dr Ste 224
Olney, MD 20832-1504

Mailing address

18111 Prince Philip Dr Ste 224
Olney, MD 20832-1504
Phone (301) 774-0074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20220716000153 DC Practitioner - Otolaryngology 9032487046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Jefferson Medical College of Thomas Jefferson University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced ENT Care LLCGroup PAC ID 1658647359, 103 clinicians

Practice addresses (Care Compare)

3801 International Dr
Silver Spring, MD 20906-1550
Phone (301) 774-0074

6410 Rockledge Dr
Suite 305
Bethesda, MD 20817-1841
Phone (301) 652-8847

Hospital & facility affiliations

  • Medstar Montgomery Medical Center Hospital, Olney, MD, CCN 210018

Merit-based Incentive Payment System (MIPS)

Final score
69.74 of 100Reported as individual
Quality
46.63
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0093794MDMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced ENT Care, LLC Otolaryngology CurrentSince Aug 7, 2022 Accepting new patients
Cumberland Valley ENT Consultants Otolaryngology Past Accepting new patients
Oral and Maxillofacial Surgery Services, PLC PastSince Jan 1, 2006 Accepting new patients
Oral Surgery Associates of Lansing PC PastSince Aug 1, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6410 Rockledge Dr
Ste 305
Bethesda, MD 20817
Phone (301) 493-9409

18111 Prince Philip Dr
Ste 224
Olney, MD 20832
Phone (301) 774-0074

3801 International Dr
Ste 206
Silver Spring, MD 20906
Phone (301) 774-0074

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": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1649703273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18111 PRINCE PHILIP DR STE 224",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321504",
            "telephone_number": "301-774-0074",
            "fax_number": "301-774-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 PRINCE PHILIP DR STE 224",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321504",
            "telephone_number": "301-774-0074",
            "fax_number": "301-774-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBELMANN",
        "first_name": "KEALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D0093794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

Verify at the official NPI Registry.