Individual provider Active NPI

Etwar H McBean, M.D.

  • Surgery Physician
  • Greenbelt, MD
National Provider Identifier
1730383498
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0073377 Issued in MD
Practice address
7500 Greenway Center Dr Ste 1120
Greenbelt, MD 20770-3563
Phone
(240) 206-8506
Fax
(240) 929-6978
NPI assigned
Jun 14, 2007
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD035602 DC
Surgery Physician 208600000X MD433352 PA
Surgery Physician 208600000X ME98540 FL
Surgery Physician 208600000X D0073377 MD Primary

Addresses

Primary practice location

7500 Greenway Center Dr Ste 1120
Greenbelt, MD 20770-3563

Mailing address

7500 Greenway Center Dr Ste 1120
Greenbelt, MD 20770-3563
Phone (240) 206-8506

Other practice location 1

10313 Georgia Ave Ste 307
Silver Spring, MD 20902-5006
Phone (240) 206-8506

Other identifiers 3

IdentifierTypeStateIssuer
MD035602OtherDCHEALTH PROFESSIONAL LICENSING ADMINISTRATION
ME98540OtherFLMEDICAL LICENSE
MD433352OtherPADEPARTMENT OF STATE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20120319000353 DC Practitioner - General Surgery 2163519059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of West Tennessee College of Medicine and Surgery, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7500 Greenway Ctr Dr
Suite 1120
Greenbelt, MD 20770-3563
Phone (240) 206-8506

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Bariatric and Hernia Institute, PC Surgery CurrentSince Oct 15, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Holy Cross Health, Inc Past Accepting new patients

Locations

12150 Annapolis Rd
Ste 309
Glenn Dale, MD 20769
Phone (301) 754-2222

7500 Greenway Center Dr
Ste 1120
Greenbelt, MD 20770
Phone (240) 206-8506

Interoperability endpoints

  • Direct secure messaging: etwar.mcbean.1@9412.direct.athenahealth.com

Organizations & group practices 3

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 4

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1730383498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 GREENWAY CENTER DR STE 1120",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703563",
            "telephone_number": "240-206-8506",
            "fax_number": "240-929-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 GREENWAY CENTER DR STE 1120",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703563",
            "telephone_number": "240-206-8506",
            "fax_number": "240-929-6978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10313 Georgia Ave Ste 307",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209025006",
            "country_code": "US",
            "telephone_number": "240-206-8506",
            "fax_number": "240-929-6978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCBEAN",
        "first_name": "ETWAR",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "DC",
            "license": "MD035602",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD433352",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME98540",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0073377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PROFESSIONAL LICENSING ADMINISTRATION",
            "identifier": "MD035602",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME98540",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF STATE",
            "identifier": "MD433352",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.