NPIMap

Individual provider Active NPI

Benjamin M Fakheri, MD

  • Internal Medicine Physician
  • Lutherville, MD
National Provider Identifier
1760700074
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D85159 Issued in MD
Practice address
10751 Falls Rd Ste 304
Lutherville, MD 21093-4551
Phone
(410) 847-3535
NPI assigned
May 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 269507 NY
Internal Medicine Physician 207R00000X D85159 MD Primary

Addresses

Primary practice location

10751 Falls Rd Ste 304
Lutherville, MD 21093-4551

Mailing address

9910 Franklin Square Dr # 2110
Baltimore, MD 21236-4902
Phone (212) 241-6585

Other practice location 1

1 Gustave L Levy Pl
New York, NY 10029-6504
Phone (212) 241-6585

Other practice location 2

2360 W Joppa Rd Ste 306
Lutherville, MD 21093-4639
Phone (410) 847-3535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181115000044 MD Practitioner - Internal Medicine 0749404747 Reassigns benefits to 1 organization
I20181115000085 DC Practitioner - Internal Medicine 0749404747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1000 E Eager St
E Baltimore Med Ctr
Baltimore, MD 21202-5533
Phone (410) 522-9800

10751 Falls Rd
Suite 304
Lutherville, MD 21093-4551
Phone (443) 834-3924

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince Oct 15, 2018 Accepting new patients
Johns Hopkins Community Physicians Internal Medicine CurrentSince Oct 15, 2018 Accepting new patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince Oct 15, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

2360 W Joppa Rd
Ste 306
Lutherville Timonium, MD 21093
Phone (410) 847-3529

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

10751 Falls Rd
Ste 304
Timonium, MD 21093
Phone (410) 321-5900

Interoperability endpoints

  • Direct secure messaging: bfakheri479679@direct.hopkinsmedicine.org

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1760700074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 FRANKLIN SQUARE DR # 2110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364902",
            "telephone_number": "212-241-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10751 FALLS RD STE 304",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934551",
            "telephone_number": "410-847-3535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296504",
            "country_code": "US",
            "telephone_number": "212-241-6585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2360 W Joppa Rd Ste 306",
            "address_purpose": "LOCATION",
            "city": "Lutherville",
            "state": "MD",
            "postal_code": "210934639",
            "country_code": "US",
            "telephone_number": "410-847-3535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAKHERI",
        "first_name": "BENJAMIN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-11",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "269507",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D85159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.