Patricia Eben, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0057636 Issued in MD

Practice address

55 Wade Ave
Spring Grove Hospital
Catonsville, MD 21228

Phone

(410) 402-6000

NPI assigned

Oct 17, 2006

Last updated

Oct 2, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: peben228481@direct.umm.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maryland General Clinical Practice Group, Inc.

  • Multi-Specialty Clinic/Center
  • Baltimore, MD
  • NPI 1770684805
  Medicare reassignment
• University of Maryland Community Medical Group, Inc.

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1477530624
  Medicare reassignment
• Allied Internal Medicine Associates LLC

  • Internal Medicine Physician
  • Lanham, MD
  • NPI 1285841882
  NPD (past) Authorized official
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Maryland Inpatient Care Specialists LLC

  • Internal Medicine Physician
  • Annapolis, MD
  • NPI 1255417200
  NPD (past)
• Matrix House Physicians PA

  • Internal Medicine Physician
  • Lanham, MD
  • NPI 1780631556
  NPD (past)
• Greater Southeast Community Hospital Corp I

  • General Acute Care Hospital
  • Washington, DC
  • NPI 1588736656
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1700966496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WADE AVE",
            "address_2": "SPRING GROVE HOSPITAL",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "21228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WADE AVE",
            "address_2": "SPRING GROVE HOSPITAL",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "21228",
            "telephone_number": "410-402-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBEN",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0057636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405374500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Lee Dunnigan, M.D.
• Kelly Dutcher, LCSW-C
• Kristin Marie Dye, CRNP
• Neena Eapen, PHARMD
• Clovis Mesonge Ebage, HHA
• Menachem Yosef Edelman, PHARM. D.
• Richard Craig Edlow, O.D.
• Edmondson Leasing Co., LLC (Ridgeway Manor Healthcare Center)
• Ednas Heavenly Touch Home Care Services
• Edward G. Dahne & Marlene Z. Dahne DDS

• Internal Medicine Physician in Catonsville, MD
• Providers in Catonsville, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.

Verify at the official NPI Registry.