Individual provider Active NPI

Mayer Gorbaty, M.D.

  • Medical Oncology Physician
  • Randallstown, MD
National Provider Identifier
1710083241
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
D0027938 Issued in MD
Practice address
5401 Old Court Road
Northwest Hospital
Randallstown, MD 21133
Phone
(410) 701-4466
Fax
(410) 701-4598
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0027938 MD
Medical Oncology Physician 207RX0202X D0027938 MD Primary

Addresses

Primary practice location

5401 Old Court Road
Northwest Hospital
Randallstown, MD 21133

Mailing address

5401 Old Court Road
Lifebridge Health, Northwest Hospital
Randallstown, MD 21133
Phone (410) 701-4466

Other identifiers 4

IdentifierTypeStateIssuer
S325-0022OtherMDBLUE CROSS BLUE SHIELD
380511500MedicaidMD
414392-03OtherMDBLUE CROSS/BLUE SHIELD
042765900MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070226000061 MD Practitioner - Hematology/Oncology 7517069370 Reassigns benefits to 3 organizations
I20250306001681 DC Practitioner - Hematology/Oncology 7517069370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
State University of New York Downstate Medical Center, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

7501 Surratts Rd
Clinton, MD 20735-3362
Phone (301) 877-7353

Merit-based Incentive Payment System (MIPS)

Final score
22.2 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
73.99

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jul 1, 2010 Accepting new patients
Northwest Hospital Center, Inc Internal Medicine CurrentSince Sep 12, 2021 Accepting new patients
Medstar Medical Group II LLC CurrentSince Feb 1, 2025 Accepting new patients
Sinai Hospital of Baltimore Inc Medical Oncology CurrentSince Jul 1, 2010 Accepting new patients
Northwest Hospital Center, Inc. CurrentSince Sep 12, 2021 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Medstar Medical Group II LLC CurrentSince Feb 1, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

2401 W Belvedere Ave
Baltimore, MD 21215

2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

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.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1710083241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 OLD COURT ROAD",
            "address_2": "LIFEBRIDGE HEALTH, NORTHWEST HOSPITAL",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "21133",
            "telephone_number": "410-701-4466",
            "fax_number": "410-701-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 OLD COURT ROAD",
            "address_2": "NORTHWEST HOSPITAL",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "21133",
            "telephone_number": "410-701-4466",
            "fax_number": "410-701-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORBATY",
        "first_name": "MAYER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0027938",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MD",
            "license": "D0027938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "S325-0022",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380511500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "414392-03",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042765900",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

Verify at the official NPI Registry.