John Gambrill Jr., MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

D15995 Issued in MD

Practice address

715 Maiden Choice LN
Catonsville, MD 21228-5999

Phone

(410) 247-5602

Fax

(410) 242-1756

NPI assigned

Jan 27, 2007

Sex

Male

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

Specialty

Ophthalmology

Education

Other, 1972

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.85 of 100Reported as group

Quality

80.72

Promoting interoperability

79

Improvement activities

40

Cost

76.29

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: john.gambrill.p2@direct.clinicalassociates.nextgenshare.com

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.

• Clinical Associates P a

  • Ambulatory Surgical Clinic/Center
  • Towson, MD
  • NPI 1982074001
  NPD (past)
• John Gambrill Jr.

  • Ophthalmology Physician
  • Catonsville, MD
  • NPI 1558113076
  NPD (past)

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1710033022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 MAIDEN CHOICE LN",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212285999",
            "telephone_number": "410-247-5602",
            "fax_number": "410-242-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 MAIDEN CHOICE LN",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212285999",
            "telephone_number": "410-247-5602",
            "fax_number": "410-242-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBRILL",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-27",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D15995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200591360",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Lynn Furnary, OTR/L
• FV Terrapin Healthcare LLC
• Bene Fynn Bansah
• Kristy R Gable, LMT, CDT
• Caroline Gaines, LCSW-C
• Lavanya Gandla
• Ajay Bhasker Rao Gangalam, MD
• Lauren Amanda Garrett, MA
• William Rade Gaver, MD
• Araceli Gaytan, P.T.

• Ophthalmology Physician in Catonsville, MD
• Providers in Catonsville, MD by specialty
• Ophthalmology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.