Individual provider Active NPI

Robert Jay Ginsberg, M.D.

  • Family Medicine Physician
  • Burtonsville, MD
National Provider Identifier
1801820964
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D25344 Issued in MD
Practice address
3905 National Drive
Suite 220
Burtonsville, MD 20866-6106
Phone
(240) 389-1192
Fax
(240) 389-1186
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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 D25344 MD Primary

Addresses

Primary practice location

3905 National Drive
Suite 220
Burtonsville, MD 20866-6106

Mailing address

3905 National Drive
Suite 220
Burtonsville, MD 20866-6106
Phone (240) 389-1192

Other identifiers 9

IdentifierTypeStateIssuer
31339-1500MedicaidMD
4244044OtherMDCIGNA PIN
8160542OtherMDALLIANCE PIN
8160542OtherMDOPTIMUM CHOICE
521186611OtherMDUNITED HEALTHCARE
8160542OtherMDMDIPA PIN
9070 0034OtherMDBSDC PIN
41417103OtherMDBSMD PIN
816542OtherMDMAMSI PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20070309000051 DC Practitioner - Family Practice 8426151689 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot R Goldstein MD & Joel R Schulman MD PA CurrentSince Mar 1, 2007 Accepting new patients
Elliot R Goldstein MD & Joel R Schulman MD PA CurrentSince Mar 1, 2007 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3905 National Dr
Ste 220
Burtonsville, MD 20866
Phone (240) 389-1986

6000 Executive Blvd
Ste 300
Rockville, MD 20852
Phone (301) 468-8999

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1801820964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 NATIONAL DRIVE",
            "address_2": "SUITE 220",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208666106",
            "telephone_number": "240-389-1192",
            "fax_number": "240-389-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 NATIONAL DRIVE",
            "address_2": "SUITE 220",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208666106",
            "telephone_number": "240-389-1192",
            "fax_number": "240-389-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINSBERG",
        "first_name": "ROBERT",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D25344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31339-1500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PIN",
            "identifier": "4244044",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE PIN",
            "identifier": "8160542",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE",
            "identifier": "8160542",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "521186611",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA PIN",
            "identifier": "8160542",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSDC PIN",
            "identifier": "9070 0034",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSMD PIN",
            "identifier": "41417103",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI PIN",
            "identifier": "816542",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burtonsville, MD

Sources for this page

Verify at the official NPI Registry.