Active NPI
Rebecca Davis Elon, M.D.
- Internal Medicine Physician
- Columbia, MD
National Provider Identifier
1720023567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0041955
- Practice address
- 6334 Cedar Lane
Suite 103
Columbia, MD 21044 - Phone
- (443) 849-3184
- Fax
- (410) 531-2608
- NPI assigned
- Jun 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0041955 | MD | Primary |
Addresses
Primary practice location
6334 Cedar Lane
Suite 103
Columbia, MD 21044
Mailing address
6701 N. Charles Street
Suite 4105
Baltimore, MD 21204
Phone (443) 849-3184
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 263108258 | Other | TRICARE NORTH | |
| 308481700 | Medicaid | MD | |
| P516-0002 | Other | CAREFIRST BCBS OF DC | |
| 04-60878 | Other | EVERCARE | |
| 523947-06 | Other | CAREFIRST BCBS OF MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erickson Health Medical Group of Howard County, PC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Columbia, MD
- NPI 1639325525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279497600000",
"number": "1720023567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 N. CHARLES STREET",
"address_2": "SUITE 4105",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21204",
"telephone_number": "443-849-3184",
"fax_number": "443-849-3182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6334 CEDAR LANE",
"address_2": "SUITE 103",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "21044",
"telephone_number": "443-849-3184",
"fax_number": "410-531-2608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELON",
"first_name": "REBECCA",
"middle_name": "DAVIS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-17",
"last_updated": "2010-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0041955",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE NORTH",
"identifier": "263108258",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "308481700",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS OF DC",
"identifier": "P516-0002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "04-60878",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS OF MD",
"identifier": "523947-06",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.