NPIMap

Individual provider Active NPI

Michael Ebbert

  • Neurology Physician
  • Baltimore, MD
National Provider Identifier
1871027326
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
H91879 Issued in MD
Practice address
5051 Greenspring Ave Ste 200
Baltimore, MD 21209-4357
Phone
(410) 601-9515
Fax
(410) 601-1910
NPI assigned
Apr 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurology Physician 2084N0400X H91879 MD Primary

Addresses

Primary practice location

5051 Greenspring Ave Ste 200
Baltimore, MD 21209-4357

Mailing address

1823 Ryan Rd
Fairmont, WV 26554-9268
Phone (304) 694-6688

Other practice location 1

1 Medical Center Dr
PO Box Neurology
Morgantown, WV 26506-1200
Phone (304) 293-2342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210623000728 MD Practitioner - Neurology 8921378720 Reassigns benefits to 1 organization
I20220627000467 WV Practitioner - Neurology 8921378720 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
West Virginia School of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 293-4500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H91879MDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince May 16, 2022 Accepting new patients
United Physicians Care Inc CurrentSince Aug 9, 2023 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jul 1, 2021 Accepting new patients
West Virginia University Medical Corporation Neurology CurrentSince May 16, 2022 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Jul 1, 2021 Accepting new patients
United Physicians Care Inc Neurology CurrentSince Aug 9, 2023 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
West Virginia University Hospitals, Inc Past Accepting new patients

Locations

5051 Greenspring Ave
Baltimore, MD 21209
Phone (410) 601-1441

5051 Greenspring Ave
Ste 200
Baltimore, MD 21209
Phone (410) 367-7600

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

1325 Locust Ave
Fairmont, WV 26554
Phone (304) 367-7100

626 Elk St
Gassaway, WV 26624
Phone (304) 364-2401

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

33 Medical Center Dr
Morgantown, WV 26505
Phone (304) 293-0822

2373 W Main St
Ste 102
Salem, WV 26426
Phone (304) 782-2000

Organizations & group practices 8

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 8

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": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1871027326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 RYAN RD",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265549268",
            "telephone_number": "304-694-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 GREENSPRING AVE STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094357",
            "telephone_number": "410-601-9515",
            "fax_number": "410-601-1910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_2": "PO Box Neurology",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265061200",
            "country_code": "US",
            "telephone_number": "304-293-2342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBBERT",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-11",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "H91879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.