Individual provider Active NPI

Benjamin David Elgamil, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Columbia, MD
National Provider Identifier
1831539303
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01605 Issued in MD
Practice address
9821 Broken Land Pkwy Ste 103
Columbia, MD 21046-1161
Phone
(410) 575-3668
NPI assigned
Jun 28, 2013
Last updated
Sep 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006465 PA
Foot & Ankle Surgery Podiatrist 213ES0103X 01605 MD Primary

Addresses

Primary practice location

9821 Broken Land Pkwy Ste 103
Columbia, MD 21046-1161

Mailing address

9821 Broken Land Pkwy Ste 103
Columbia, MD 21046-1161
Phone (410) 575-3668

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160921000085 MD Practitioner - Podiatry 2163715947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9821 Broken Land Pkwy
Suite 103
Columbia, MD 21046-1161
Phone (410) 363-4343

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue39
Removal of skin lesions1-10
Removal of nail tissue191
Removal or shaving of skin growth68
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006465PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Pain Center LLC Foot & Ankle Surgery CurrentSince Sep 1, 2020 Accepting new patients
Foot and Ankle Pain Center LLC Foot & Ankle Surgery CurrentSince Sep 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9821 Broken Land Pkwy
Columbia, MD 21046
Phone (410) 730-5700

9821 Broken Land Pkwy
Ste 103
Columbia, MD 21046
Phone (410) 575-3668

Interoperability endpoints

  • Direct secure messaging: belgamil@faapcl-md.direct.office.nextgen.com
  • Direct secure messaging: belgamil473278@direct.umm.edu
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1831539303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9821 BROKEN LAND PKWY STE 103",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461161",
            "telephone_number": "410-575-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9821 BROKEN LAND PKWY STE 103",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461161",
            "telephone_number": "410-575-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGAMIL",
        "first_name": "BENJAMIN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-28",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006465",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.