Active NPI
Adel Ebraheem, MS, OD
- Optometrist
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA2816
- Practice address
- 419 W Redwood St Ste 470
Baltimore, MD 21201-7009 - Phone
- (667) 214-1197
- NPI assigned
- Jul 1, 2021
- Last updated
- Mar 11, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG003818 | PA | |
| Optometrist | 152W00000X | TA2816 | MD | Primary |
Addresses
Primary practice location
419 W Redwood St Ste 470
Baltimore, MD 21201-7009
Mailing address
6000 Same Voyage Way Unit 407
Clarksville, MD 21029-1375
Phone (630) 303-6301
Other names 1
- Dr. Adel Ebraheem
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1205 S 28TH St
Harrisburg, PA 17111-1046
Phone (267) 635-7089
17301 Valley Mall Rd
Hagerstown, MD 21740-6966
Phone (301) 582-1771
18310 Montgomery Village Ave
Suite 140
Gaithersburg, MD 20879-3556
Phone (301) 869-4070
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG003818 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Pennsylvania, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Pennsylvania, LLC | Optometrist | Current | Accepting new patients |
| University of Maryland Eye Associates, P.a. | Current | Accepting new patients | |
| Icare Optometry of Pennsylvania PC | Optometrist | Current | Accepting new patients |
| University of Maryland Eye Associates, P.a. | Current | Accepting new patients | |
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| Canton Crossing Optometry, LLC | Optometrist | Current | Accepting new patients |
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Pennsylvania, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Montgomery Village Eye Center Inc | Optometrist | Current | Accepting new patients |
| Aeg Maryland Professional LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Well Eyecare Physician LLC | Optometrist | Past | Accepting new patients |
| Well Eyecare Physician LLC | Optometrist | Past | Accepting new patients |
| Well Eyecare Physician LLC | Optometrist | Past | Accepting new patients |
| Well Eyecare Physician LLC | Optometrist | Past | Accepting new patients |
| Well Eyecare Physician LLC | Optometrist | Past | Accepting new patients |
| Well Eyecare Physician LLC | Optometrist | Past | Accepting new patients |
Locations (25 of 47)
169 Jennifer Rd
Ste D
Annapolis, MD 21401
Phone (410) 224-0021
1905 Towne Centre Blvd
Ste 110
Annapolis, MD 21401
Phone (410) 268-8200
2321 Forest Dr
Ste E
Annapolis, MD 21401
Phone (410) 266-3369
3715 Boston St
Baltimore, MD 21224
Phone (443) 839-0335
419 W Redwood St
Ste 420
Baltimore, MD 21201
Phone (410) 328-6533
419 W Redwood St
Ste 470
Baltimore, MD 21201
Phone (667) 214-1197
6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206
8818 Waltham Woods Rd
Baltimore, MD 21234
Phone (410) 882-2020
5 Bel Air South Pkwy
Ste 1317
Bel Air, MD 21015
Phone (410) 569-8113
623 Bel Air Rd
Bel Air, MD 21014
Phone (410) 879-0044
5701 Greenbelt Rd
Berwyn Heights, MD 20740
Phone (301) 345-2053
5701 Greenbelt Rd
Ste 520
Berwyn Heights, MD 20740
Phone (301) 345-2053
4917 Elm St
Ste A
Bethesda, MD 20814
Phone (301) 718-2424
15431 Emerald Way
Bowie, MD 20716
Phone (301) 805-6132
4412 Mitchellville Rd
Bowie, MD 20716
Phone (301) 309-0000
6804 Race Track Rd
Bowie, MD 20715
Phone (301) 262-1210
7305 Baltimore Ave
Ste 202
College Park, MD 20740
Phone (301) 277-2100
6455 Dobbin Rd
Ste 47
Columbia, MD 21045
Phone (443) 542-5999
10264 Southern Md Blvd
Ste 101
Dunkirk, MD 20754
Phone (410) 257-6931
1311 Londontown Blvd
Ste 100
Eldersburg, MD 21784
Phone (410) 795-5588
3309 Forestville Pl
Forestville, MD 20747
Phone (301) 420-6610
5500 Buckeystown Pike
Ste 620
Frederick, MD 21703
Phone (301) 663-4745
7810 Wormans Mill Rd
Ste C
Frederick, MD 21701
Phone (301) 228-2666
18310 Montgomery Village Ave
Ste 140
Gaithersburg, MD 20879
Phone (301) 698-4070
80 Market St
Gaithersburg, MD 20878
Phone (301) 990-1122
Interoperability endpoints
- adel.ebraheem@vip.emadirect.md
- aebraheem848360@direct.umm.edu
Organizations & group practices 21
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.
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- NPI 1205768876
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- Optometrist
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- NPI 1225960743
-
- Optometrist
- Rockville, MD
- NPI 1306767298
-
- Optometrist
- Frederick, MD
- NPI 1477462109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1851961726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 SAME VOYAGE WAY UNIT 407",
"city": "CLARKSVILLE",
"state": "MD",
"postal_code": "210291375",
"telephone_number": "630-303-6301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 W REDWOOD ST STE 470",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212017009",
"telephone_number": "667-214-1197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBRAHEEM",
"first_name": "ADEL",
"name_prefix": "Dr.",
"credential": "MS, OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-01",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG003818",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA2816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ADEL",
"last_name": "EBRAHEEM",
"prefix": "DR.",
"credential": "MS, OD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.