Individual provider Active NPI

Nathan Eric Carnell, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Frederick, MD
National Provider Identifier
1861406753
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
D0035695 Issued in MD
Practice address
7211 Bank CT
Suite 240
Frederick, MD 21703-8483
Phone
(240) 215-1454
Fax
(240) 215-1453
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X D0035695 MD Primary

Addresses

Primary practice location

7211 Bank CT
Suite 240
Frederick, MD 21703-8483

Mailing address

7211 Bank CT
Suite 240
Frederick, MD 21703-8483
Phone (240) 215-1454

Other identifiers 1

IdentifierTypeStateIssuer
530121100MedicaidMD

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101023000131 MD Practitioner - Endocrinology 2567590813 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc CurrentSince Dec 6, 2017 Accepting new patients
Frederick Health Hospital Inc CurrentSince Dec 6, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7211 Bank Ct
Ste 240
Frederick, MD 21703

1562 Opossumtown Pike
Frederick, MD 21702
Phone (240) 566-4500

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

7211 Bank Ct
Ste 230
Frederick, MD 21703
Phone (240) 415-5020

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1861406753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 BANK CT",
            "address_2": "SUITE 240",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217038483",
            "telephone_number": "240-215-1454",
            "fax_number": "240-215-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 BANK CT",
            "address_2": "SUITE 240",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217038483",
            "telephone_number": "240-215-1454",
            "fax_number": "240-215-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNELL",
        "first_name": "NATHAN",
        "middle_name": "ERIC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MD",
            "license": "D0035695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "530121100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.