Active NPI
Paul Alan Gertler, M.D.
- Rheumatology Physician
- Ellicott City, MD
National Provider Identifier
1811974710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- D22448
- Practice address
- 4801 Dorsey Hall Dr
Ste 226
Ellicott City, MD 21042-7766 - Phone
- (410) 992-7440
- Fax
- (443) 276-0349
- NPI assigned
- Dec 30, 2005
- Last updated
- Jan 16, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | D22448 | MD | Primary |
Addresses
Primary practice location
4801 Dorsey Hall Dr
Ste 226
Ellicott City, MD 21042-7766
Mailing address
4801 Dorsey Hall Dr
Suite 226
Ellicott City, MD 21042-7766
Phone (410) 992-7440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 153891800 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rheumatology Physician
- Columbia, MD
- NPI 1639153521
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484524800000",
"number": "1811974710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 DORSEY HALL DR",
"address_2": "SUITE 226",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210427766",
"telephone_number": "410-992-7440",
"fax_number": "443-276-0349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 DORSEY HALL DR",
"address_2": "STE 226",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210427766",
"telephone_number": "410-992-7440",
"fax_number": "443-276-0349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERTLER",
"first_name": "PAUL",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2017-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MD",
"license": "D22448",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "153891800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.