Individual provider Active NPI

Eric Simball, M.D.

  • Family Medicine Physician
  • Baltimore, MD
National Provider Identifier
1720043805
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0036820 Issued in MD
Practice address
8830 Belair Rd
Baltimore, MD 21236-2401
Phone
(410) 529-9200
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0036820 MD Primary

Addresses

Primary practice location

8830 Belair Rd
Baltimore, MD 21236-2401

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 968-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20090518000087 MD Practitioner - Family PracticePractitioner - Internal Medicine 1153470406 Reassigns benefits to 1 organization
I20140502000794 DC Practitioner - Family Practice 1153470406 Reassigns benefits to 1 organization
I20170301000432 TX Practitioner - Family Practice 1153470406 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Maryland Medical Group PLLC Family Medicine CurrentSince Jun 1, 2000 Accepting new patients
Patient First Maryland Medical Group PLLC Family Medicine CurrentSince Dec 24, 2013 Accepting new patients
Patient First Maryland Medical Group, PLLC Family Medicine Current Accepting new patients
Patient First Maryland Medical Group PLLC Family Medicine CurrentSince Jun 1, 2000 Accepting new patients
DHHS IHS Phoenix CurrentSince Jan 12, 2017 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8830 Belair Rd
Baltimore, MD 21236
Phone (410) 529-9020

10210 Reisterstown Rd
Owings Mills, MD 21117
Phone (410) 902-6776

726 Rockville Pike
Rockville, MD 20852
Phone (240) 238-0411

2855 Crain Hwy
Waldorf, MD 20601
Phone (240) 427-1926

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Organizations & group practices 7

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1720043805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8830 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212362401",
            "telephone_number": "410-529-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMBALL",
        "first_name": "ERIC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0036820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.