Organization Active NPI

Andrew S. Dobin, MD PA

  • Internal Medicine Physician
  • Bowie, MD
National Provider Identifier
1831167683
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ANDREW S. DOBIN, MD PA
Practice address
4175 N Hanson CT
Bowie, MD 20716-3179
Phone
(301) 464-9660
Fax
(301) 464-9383
NPI assigned
Mar 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Dr. Andrew S Dobin, MD
Title
Owner/Physician
Phone
(410) 741-4579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4175 N Hanson CT
Bowie, MD 20716-3179

Mailing address

PO Box 64720
Baltimore, MD 21264-4720
Phone (443) 481-6566

Other identifiers 3

IdentifierTypeStateIssuer
0D48ANOtherBCBS
5671OtherBCBS
400365900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090219000646 DC Part B Supplier - Clinic/Group Practice 9436227014 Receives reassigned benefits from 3 practitioners
Practice locations: Bowie, MD

National Provider Directory

National Provider Directory
Tax ID family
Andrew S Dobin MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4175 N Hanson Ct
Ste 203A
Bowie, MD 20716
Phone (301) 464-9660

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1831167683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64720",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644720",
            "telephone_number": "443-481-6566",
            "fax_number": "443-481-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 N HANSON CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163179",
            "telephone_number": "301-464-9660",
            "fax_number": "301-464-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW S. DOBIN, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "DOBIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "410-741-4579",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0D48AN",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5671",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400365900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.