Helene Audrey Emsellem, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

D0026399 Issued in MD

Practice address

10300 Glen Rd
Potomac, MD 20854-1835

Phone

(301) 654-1575

Fax

(301) 654-5658

NPI assigned

Jun 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2024 through Oct 1, 2026

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1790720001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 GLEN RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541835",
            "telephone_number": "301-509-0069",
            "fax_number": "301-654-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 GLEN RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541835",
            "telephone_number": "301-654-1575",
            "fax_number": "301-654-5658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10300 Glen Rd",
            "address_purpose": "LOCATION",
            "city": "Potomac",
            "state": "MD",
            "postal_code": "208541835",
            "country_code": "US",
            "telephone_number": "301-509-0069",
            "fax_number": "800-886-1005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMSELLEM",
        "first_name": "HELENE",
        "middle_name": "AUDREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0026399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366861400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Egan Physical Therapy LLC.
• Josephine Egan, DPT
• Benjamin Lee Eichberg, LCSW-C
• Hanan Fawzi Elbakry, PHD, LCPC, LPC, MS
• Elite Surgical Services, LLC
• Endocrine and Diabetes Associates, LLC
• Mahro M Ershadi, PHARM.D.
• Nardos Mesfin Eshetu
• Ez Health Resources, LLC
• Facet Health P.a.

• Neurology Physician in Potomac, MD
• Providers in Potomac, MD by specialty
• Neurology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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; Opt Out Affidavits.
• 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.

Verify at the official NPI Registry.