Individual provider Active NPI

Glenn Michael Silber, MD

  • Allergy & Immunology Physician
  • Columbia, MD
National Provider Identifier
1659315570
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
D33273 Issued in MD
Practice address
10025 Governor Warfield Pkwy
Suite 410
Columbia, MD 21044-3340
Phone
(410) 730-6000
Fax
(443) 979-7944
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X M24338 MD
Allergy & Immunology Physician 207K00000X D33273 MD Primary

Addresses

Primary practice location

10025 Governor Warfield Pkwy
Suite 410
Columbia, MD 21044-3340

Mailing address

PO Box 64264
Baltimore, MD 21264-4264

Other identifiers 1

IdentifierTypeStateIssuer
395631800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040505001347 MD Practitioner - Allergy/Immunology 5890608590 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D33273MDMDAllergy & Immunology Physician
M24338MDMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Center of Central Maryland, PA CurrentSince Oct 1, 1992 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9891 Broken Land Pkwy
Ste 100
Columbia, MD 21046
Phone (410) 730-6000

10025 Governor Warfield Pkwy
Ste 410
Columbia, MD 21044
Phone (410) 356-2626

Organizations & group practices 2

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1659315570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64264",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644264",
            "fax_number": "443-979-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10025 GOVERNOR WARFIELD PKWY",
            "address_2": "SUITE 410",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443340",
            "telephone_number": "410-730-6000",
            "fax_number": "443-979-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILBER",
        "first_name": "GLENN",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MD",
            "license": "M24338",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MD",
            "license": "D33273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "395631800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.