Individual provider Active NPI

Raymond Isaac Haroun, M.D.

  • Neurological Surgery Physician
  • Baltimore, MD
National Provider Identifier
1861487514
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
D53752 Issued in MD
Practice address
3407 Wilkens Ave
Suite 250
Baltimore, MD 21229-5072
Phone
(410) 646-4800
Fax
(410) 646-9700
NPI assigned
Sep 19, 2005
Last updated
Jun 1, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X D53752 MD Primary

Addresses

Primary practice location

3407 Wilkens Ave
Suite 250
Baltimore, MD 21229-5072

Mailing address

3407 Wilkens Ave
Suite 250
Baltimore, MD 21229-5072
Phone (410) 646-4800

Other identifiers 7

IdentifierTypeStateIssuer
3653121OtherAETNA HMO
336403OtherMAMSI
1985692OtherUNITED HEALTHCARE
7609144OtherAETNA PPO
633102500MedicaidMD
038-889OtherEHP/PRIORITY PARTNERS
6310941OtherCIGNA MANAGED CARE

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
I20041104000780 MD Practitioner - Neurosurgery 4981667656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Columbia University College of Physicians and Surgeons, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Spine and Brain Specialists, LLCGroup PAC ID 0547223216, 3 clinicians

Practice addresses (Care Compare)

11055 Little Patuxent Pkwy
Suite L1
Columbia, MD 21044-2897
Phone (410) 646-4800

3407 Wilkens Ave
Suite 250
Baltimore, MD 21229-5216

3407 Wilkens Ave
Suite 250
Baltimore, MD 21229-5222
Phone (410) 646-4800

3449 Wilkens Ave
Suite 100
Baltimore, MD 21229-5216

8178 Lark Brown Rd
Suite 101
Elkridge, MD 21075-6438
Phone (410) 646-4800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.31 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
67.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion25
Laminectomy or laminotomy (partial removal of spine bones)19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Specialty Surgery Center, LLC Current Accepting new patients
Maryland Spine and Brain Specialists, LLC CurrentSince Oct 16, 2004 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Johns Hopkins University Neurological Surgery Past Accepting new patients

Locations

3407 Wilkens Ave
Ste 250
Baltimore, MD 21229
Phone (410) 646-4800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22084/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1861487514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 WILKENS AVE",
            "address_2": "SUITE 250",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295072",
            "telephone_number": "410-646-4800",
            "fax_number": "410-646-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 WILKENS AVE",
            "address_2": "SUITE 250",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295072",
            "telephone_number": "410-646-4800",
            "fax_number": "410-646-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAROUN",
        "first_name": "RAYMOND",
        "middle_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MD",
            "license": "D53752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3653121",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "336403",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1985692",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7609144",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "633102500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EHP/PRIORITY PARTNERS",
            "identifier": "038-889",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA MANAGED CARE",
            "identifier": "6310941",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.