Individual provider Active NPI

Fahad Gul, D.O.

  • Diagnostic Radiology Physician
  • Hagerstown, MD
National Provider Identifier
1770946725
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
H0093697 Issued in MD
Practice address
11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone
(301) 790-8130
NPI assigned
Mar 29, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X H0093697 MD Primary

Addresses

Primary practice location

11116 Medical Campus Rd
Hagerstown, MD 21742-6710

Mailing address

10715 Downsville Pike Ste 103
Hagerstown, MD 21740-7240
Phone (301) 739-6144

Other practice location 1

1101 Opal Ct
Hagerstown, MD 21740-5941
Phone (301) 714-4200

Other practice location 2

13620 Crayton Blvd
Hagerstown, MD 21742-2335
Phone (301) 714-4200

Other practice location 3

1110 Professional Ct
Hagerstown, MD 21740-5826
Phone (301) 714-4200

Other practice location 4

11110 Medical Campus Rd Ste 222
Hagerstown, MD 21742-6797
Phone (301) 714-4200

Other practice location 5

11110 Medical Campus Rd Ste 245
Hagerstown, MD 21742-6797
Phone (301) 714-4200

Other practice location 6

11110 Medical Campus Rd Ste 204
Hagerstown, MD 21742-6797
Phone (301) 714-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220705000352 MD Practitioner - Diagnostic Radiology 9032403514 Reassigns benefits to 2 organizations
I20230714000143 DC Practitioner - Diagnostic Radiology 9032403514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
West Virginia School of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Imaging Services LLCGroup PAC ID 9739087214, 17 clinicians
Blackwell Physicians, LLCGroup PAC ID 2163810383, 67 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Suite 204
Hagerstown, MD 21742-6797
Phone (301) 714-4200

9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (240) 826-6074

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blackwell Physicians, LLC Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Associated Radiologists, PA CurrentSince Jul 20, 2022 Accepting new patients
Diagnostic Imaging Services, LLC CurrentSince Jul 20, 2022 Accepting new patients

Locations

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

10715 Downsville Pike
Ste 103
Hagerstown, MD 21740
Phone (240) 313-9940

11110 Medical Campus Rd
Ste 222
Hagerstown, MD 21742
Phone (301) 714-4200

1101 Opal Ct
Hagerstown, MD 21740
Phone (301) 665-1462

1110 Professional Ct
Hagerstown, MD 21740
Phone (240) 420-5559

13620 Crayton Blvd
Hagerstown, MD 21742
Phone (240) 313-3100

11110 Medical Campus Rd
Ste 245
Hagerstown, MD 21742
Phone (301) 714-4200

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

11110 Medical Campus Rd
Ste 204
Hagerstown, MD 21742
Phone (301) 714-1200

9601 Blackwell Rd
Ste 150
Rockville, MD 20850
Phone (240) 864-1100

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1770946725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10715 DOWNSVILLE PIKE STE 103",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407240",
            "telephone_number": "301-739-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11116 MEDICAL CAMPUS RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426710",
            "telephone_number": "301-790-8130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Opal Ct",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217405941",
            "country_code": "US",
            "telephone_number": "301-714-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13620 Crayton Blvd",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217422335",
            "country_code": "US",
            "telephone_number": "301-714-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 Professional Ct",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217405826",
            "country_code": "US",
            "telephone_number": "301-714-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11110 Medical Campus Rd Ste 222",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217426797",
            "country_code": "US",
            "telephone_number": "301-714-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11110 Medical Campus Rd Ste 245",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217426797",
            "country_code": "US",
            "telephone_number": "301-714-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11110 Medical Campus Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217426797",
            "country_code": "US",
            "telephone_number": "301-714-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUL",
        "first_name": "FAHAD",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "H0093697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.