Individual provider Active NPI

Ghassan K Hatoum, MD

  • General Practice Physician
  • La Plata, MD
National Provider Identifier
1730226440
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
D0032495 Issued in MD
Practice address
6620 Crain Hwy
Ste 104
La Plata, MD 20646
Phone
(301) 934-2299
Fax
(301) 392-2119
NPI assigned
Jan 31, 2007
Last updated
Apr 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X D0032495 MD Primary

Addresses

Primary practice location

6620 Crain Hwy
Ste 104
La Plata, MD 20646

Mailing address

6620 Crain Hwy
Ste 104
La Plata, MD 20646
Phone (301) 934-2299

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
I20120821000671 MD Practitioner - General Practice 0244200038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1980
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6620 Crain Hwy
Suite 104
La Plata, MD 20646-4273
Phone (301) 934-2299

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.82 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
82.74

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot R Goldstein MD & Joel R Schulman MD PA CurrentSince Oct 15, 2014 Accepting new patients
Med-Surg Care PC General Practice CurrentSince Jan 1, 1975 Accepting new patients
Elliot R Goldstein MD & Joel R Schulman MD PA CurrentSince Oct 15, 2014 Accepting new patients
Family Medcare, LLC PastSince Apr 14, 2025 Accepting new patients

Locations

6620 Crain Hwy
La Plata, MD 20646
Phone (301) 934-2299

6620 Crain Hwy
Ste 104
La Plata, MD 20646
Phone (301) 870-3200

6000 Executive Blvd
Ste 300
Rockville, MD 20852
Phone (301) 468-8999

1400 Forest Glen Rd
Ste 400
Silver Spring, MD 20910
Phone (301) 251-0509

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1730226440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 CRAIN HWY",
            "address_2": "STE 104",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "20646",
            "telephone_number": "301-934-2299",
            "fax_number": "301-392-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 CRAIN HWY",
            "address_2": "STE 104",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "20646",
            "telephone_number": "301-934-2299",
            "fax_number": "301-392-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATOUM",
        "first_name": "GHASSAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0032495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

Verify at the official NPI Registry.