NPIMap

Individual provider Active NPI

Alan E Bobb, M.D.

  • Diagnostic Radiology Physician
  • Germantown, MD
National Provider Identifier
1669443321
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0063207 Issued in MD
Practice address
20410 Observation Dr
Suite 104
Germantown, MD 20876-4000
Phone
(301) 948-5700
Fax
(301) 212-4277
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D0063207 MD Primary

Addresses

Primary practice location

20410 Observation Dr
Suite 104
Germantown, MD 20876-4000

Mailing address

20410 Observation Dr
Suite 104
Germantown, MD 20876-4000
Phone (301) 948-5700

Other identifiers 1

IdentifierTypeStateIssuer
408539600MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181204002759 PA Practitioner - Diagnostic Radiology 2365427721 Reassigns benefits to 1 organization
I20241216003900 NJ Practitioner - Diagnostic Radiology 2365427721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
George Washington University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lourdes Imaging Associates PAGroup PAC ID 2264480235, 15 clinicians
Radiology Associates of Burlington County P aGroup PAC ID 7012954381, 153 clinicians

Practice addresses (Care Compare)

1600 Haddon Ave
Camden, NJ 08103-3101
Phone (856) 616-8100

175 Madison Ave
Mount Holly, NJ 08060-2038
Phone (609) 267-0700

218 Sunset Rd
Willingboro, NJ 08046-1110
Phone (856) 616-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.27 of 100Reported as group
Quality
90.59
Improvement activities
40
Cost
81.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0063207MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Group of Abington PC Diagnostic Radiology CurrentSince Aug 12, 2019 Accepting new patients
Lourdes Imaging Associates PA Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Shady Grove Radiological Consultants PA Diagnostic Radiology Past Accepting new patients
Washington Open MRI Inc Past Accepting new patients
MCV Associated Physicians Diagnostic Radiology PastSince Sep 28, 2021 Accepting new patients
Washington Open MRI Inc Diagnostic Radiology PastSince Aug 15, 2018 Accepting new patients
Medical Faculty Associates, Inc Past Accepting new patients

Locations

1600 Haddon Ave
Camden, NJ 08103
Phone (609) 757-3500

218 Sunset Rd
Willingboro, NJ 08046
Phone (609) 835-2900

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

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.

Hospital & facility affiliations 4

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1669443321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20410 OBSERVATION DR",
            "address_2": "SUITE 104",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764000",
            "telephone_number": "301-948-5700",
            "fax_number": "301-212-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20410 OBSERVATION DR",
            "address_2": "SUITE 104",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764000",
            "telephone_number": "301-948-5700",
            "fax_number": "301-212-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBB",
        "first_name": "ALAN",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0063207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408539600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.