Active NPI
Arn Eliasson, MD
- Pulmonary Disease Physician
- Ellicott City, MD
National Provider Identifier
1750391033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- D0064342
- Practice address
- 10290 Baltimore National Pike
Ellicott City, MD 21042-3670 - Phone
- (410) 465-8503
- Fax
- (410) 465-8570
- NPI assigned
- Aug 9, 2006
- Last updated
- Aug 10, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | D0064342 | MD | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | D0064342 | MD |
Addresses
Primary practice location
10290 Baltimore National Pike
Ellicott City, MD 21042-3670
Mailing address
PO Box 6083
Ellicott City, MD 21042-0083
Phone (410) 465-8503
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D0064342 | Other | MD | MEDICAL LIC # MARYLAND |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160920000197 | MD | Practitioner - Internal Medicine | 9335303577 | Practice locations: Ellicott City, MD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| America's Favorite Sleep Center Inc. | Current | Accepting new patients | |
| Shahnaz K. Rao Mdpa | Sleep Medicine | Past | Accepting new patients |
Locations
10290 Baltimore National Pike
Ellicott City, MD 21042
Phone (410) 465-8503
10290 Baltimore National Pike
Ofc
Ellicott City, MD 21042
Phone (410) 465-8503
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physiological Laboratory
- Ellicott City, MD
- NPI 1386654663
-
- Sleep Medicine (Internal Medicine) Physician
- Bowie, MD
- NPI 1851754469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470787200000",
"number": "1750391033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6083",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210420083",
"telephone_number": "410-465-8503",
"fax_number": "410-465-8503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10290 BALTIMORE NATIONAL PIKE",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210423670",
"telephone_number": "410-465-8503",
"fax_number": "410-465-8570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIASSON",
"first_name": "ARN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2016-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MD",
"license": "D0064342",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "MD",
"license": "D0064342",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LIC # MARYLAND",
"identifier": "D0064342",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.