Active NPI
Eugene A Obah, M.D.
- Internal Medicine Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D44018
- Practice address
- 6565 N Charles St
Ste 203
Baltimore, MD 21204-6800 - Phone
- (443) 849-3760
- NPI assigned
- May 31, 2006
- Last updated
- Dec 21, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D44018 | MD | Primary |
Addresses
Primary practice location
6565 N Charles St
Ste 203
Baltimore, MD 21204-6800
Mailing address
PO Box 418953
Boston, MA 02241-8953
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S1380014 | Other | MD | CAREFIRST REGIONAL GBMC |
| 644001100 | Medicaid | MD | |
| KJ15GB/529852-01 | Other | MD | CAREFIRST MARYLAND GBMC |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12 Newport Dr
Suite a
Forest Hill, MD 21050-1758
6565 N Charles St
203 Medicine GBMC
Baltimore, MD 21204-5805
Phone (410) 828-3760
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D44018 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Baltimore Medical Center, Inc. | Internal Medicine | Current | Accepting new patients |
| Greater Baltimore Medical Center, Inc. | Current | Accepting new patients | |
| Greater Baltimore Medical Center, Inc | Current | Accepting new patients | |
| Greater Baltimore Medical Center, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
6565 N Charles St
Ste 203
Towson, MD 21204
Phone (410) 828-3760
6569 N Charles St
Ste 307
Towson, MD 21204
Phone (443) 849-2767
6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196
Interoperability endpoints
- eobah8085@gbmcdirect.org
Organizations & group practices 6
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.
-
dba GBMC Dept of OBGYN, L&D
- Obstetrics & Gynecology Physician
- Baltimore, MD
- NPI 1891855763
-
- Physical Therapist
- Forest Hill, MD
- NPI 1578900668
-
dba Medical Hospitalists GBMC
- Hospitalist Physician
- Baltimore, MD
- NPI 1275578106
Internal Medicine
-
- Sleep Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1538029731
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Medical Oncology Physician
- Baltimore, MD
- NPI 1235167297
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1255372397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324425600000",
"number": "1760429922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 418953",
"city": "BOSTON",
"state": "MA",
"postal_code": "022418953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 N CHARLES ST",
"address_2": "STE 203",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212046800",
"telephone_number": "443-849-3760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBAH",
"first_name": "EUGENE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2011-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D44018",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST REGIONAL GBMC",
"identifier": "S1380014",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "644001100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MARYLAND GBMC",
"identifier": "KJ15GB/529852-01",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.