Active NPI
Fadia Mabrouk, M.D
- Pediatrics Physician
- Bel Air, MD
National Provider Identifier
1912930215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0028558
- Practice address
- 104 Plumtree Rd
Suite 115
Bel Air, MD 21015-6095 - Phone
- (410) 515-4300
- Fax
- (410) 515-4318
- NPI assigned
- Jul 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0028558 | MD | Primary |
Addresses
Primary practice location
104 Plumtree Rd
Suite 115
Bel Air, MD 21015-6095
Mailing address
3814 Fairhaven Ter
Abingdon, MD 21009-2046
Phone (410) 515-4300
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012333 | Other | JOHNS HOPKINS HEALTHCARE | |
| 9966 | Other | KAISER | |
| 1164938 | Other | CIGNA | |
| 0012 | Other | CAREFIRST DC | |
| 1201790 | Medicaid | MD | |
| 113527 | Other | COVENTRY | |
| 4674514 | Other | AETNA PPO | |
| 93009 | Medicaid | MD | |
| 281939 | Other | MAMSI | |
| 39960901 | Other | CAREFIRST MARYLAND | |
| 1978378 | Other | UNITED HEALTHCARE | |
| 2310489 | Other | AETNA HMO | |
| 700302 | Other | NCPPO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636070400000",
"number": "1912930215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3814 FAIRHAVEN TER",
"city": "ABINGDON",
"state": "MD",
"postal_code": "210092046",
"telephone_number": "410-515-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 PLUMTREE RD",
"address_2": "SUITE 115",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210156095",
"telephone_number": "410-515-4300",
"fax_number": "410-515-4318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MABROUK",
"first_name": "FADIA",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2021-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0028558",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS HEALTHCARE",
"identifier": "012333",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "9966",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1164938",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST DC",
"identifier": "0012",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1201790",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "113527",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4674514",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "93009",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "281939",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MARYLAND",
"identifier": "39960901",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1978378",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2310489",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "700302",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.