Individual provider Active NPI

Robert O'Brian, M.D.

  • Rheumatology Physician
  • Eldersburg, MD
National Provider Identifier
1730140724
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
9901590 Issued in NC
Practice address
6190 Georgetown Blvd
Suite 110
Eldersburg, MD 21784
Phone
(410) 795-9700
Fax
(410) 795-7500
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 9901590 NC Primary

Addresses

Primary practice location

6190 Georgetown Blvd
Suite 110
Eldersburg, MD 21784

Mailing address

6190 Georgetown Blvd
Suite 110
Eldersburg, MD 21784
Phone (410) 795-9700

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200520000079 MD Practitioner - Rheumatology 7719138049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
George Washington University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eldersburg Arthritis LLCGroup PAC ID 9739232646, 5 clinicians

Practice addresses (Care Compare)

6190 Georgetown Blvd
Suite 110
Eldersburg, MD 21784-6460
Phone (410) 795-9700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.41 of 100Reported as group
Quality
74.82
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eldersburg Arthritis LLC Rheumatology CurrentSince May 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6190 Georgetown Blvd
Ste 110
Sykesville, MD 21784
Phone (410) 795-9700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIBAED/Endpoint/GIBAED

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1730140724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6190 GEORGETOWN BLVD",
            "address_2": "SUITE 110",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "21784",
            "telephone_number": "410-795-9700",
            "fax_number": "410-795-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6190 GEORGETOWN BLVD",
            "address_2": "SUITE 110",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "21784",
            "telephone_number": "410-795-9700",
            "fax_number": "410-795-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIAN",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NC",
            "license": "9901590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldersburg, MD

Sources for this page

Verify at the official NPI Registry.