Individual provider Active NPI

Eveit E Gobrial, M.D.

  • Family Medicine Physician
  • Catonsville, MD
National Provider Identifier
1790739910
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D51872 Issued in MD
Practice address
2 E Rolling Crossroads Ste 56
Catonsville, MD 21228-6212
Phone
(410) 747-4272
Fax
(410) 747-4918
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D51872 MD Primary

Addresses

Primary practice location

2 E Rolling Crossroads Ste 56
Catonsville, MD 21228-6212

Mailing address

2 E Rolling Crossroads Ste 56
Catonsville, MD 21228-6212
Phone (410) 747-4272

Other identifiers 1

IdentifierTypeStateIssuer
587900100MedicaidMD

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
I20040810000238 MD Practitioner - Family Practice 8820060924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 E Rolling Crossraods
Suite 56
Catonsville, MD 21228-6212
Phone (410) 747-4272

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D51872MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eveit E Gobrial MD LLC Family Medicine CurrentSince Jun 4, 2004 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Baltimore Washington Emergency Physicians, Inc. Past Accepting new patients
Medlantic Healthcare Group Past Accepting new patients
Johns Hopkins University Past Accepting new patients

Locations

2 W Rolling Xrds
Ste 56
Catonsville, MD 21228
Phone (410) 747-4272

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1790739910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E ROLLING CROSSROADS STE 56",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286212",
            "telephone_number": "410-747-4272",
            "fax_number": "410-747-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E ROLLING CROSSROADS STE 56",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286212",
            "telephone_number": "410-747-4272",
            "fax_number": "410-747-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBRIAL",
        "first_name": "EVEIT",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D51872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "587900100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.