Active NPI
Fasil M Wubu, M.D,
- Hospitalist Physician
- Baltimore, MD
National Provider Identifier
1922215607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- D0064695
- Practice address
- 954 Forrest St
Baltimore, MD 21202-4236 - Phone
- (410) 837-2135
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | D0064695 | MD | Primary |
Addresses
Primary practice location
954 Forrest St
Baltimore, MD 21202-4236
Mailing address
9895 Good Luck Rd
Apt # 5
Lanham, MD 20706-3221
Phone (301) 794-0008
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0064695 | MD | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922215607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9895 GOOD LUCK RD",
"address_2": "APT # 5",
"city": "LANHAM",
"state": "MD",
"postal_code": "207063221",
"telephone_number": "301-794-0008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "954 FORREST ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212024236",
"telephone_number": "410-837-2135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WUBU",
"first_name": "FASIL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MD",
"license": "D0064695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.