Individual provider Active NPI

Arn Eliasson, MD

  • Pulmonary Disease Physician
  • Ellicott City, MD
National Provider Identifier
1750391033
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
D0064342 Issued in MD
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
D0064342OtherMDMEDICAL 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160920000197 MD Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Sleep Medicine 9335303577 Practice locations: Ellicott City, MD

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
America's Favorite Sleep Center Inc. CurrentSince May 27, 2017 Accepting new patients
Shahnaz K. Rao Mdpa Sleep Medicine PastSince May 28, 2019 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.

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

Verify at the official NPI Registry.