Individual provider Active NPI

David Peter Luebbert, M.D.

  • Family Medicine Physician
  • Columbia, MD
National Provider Identifier
1922419464
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301105897 Issued in MI
Practice address
6250 Old Dobbin LN
Columbia, MD 21045-5816
Phone
(410) 730-3399
Fax
(443) 709-8672
NPI assigned
May 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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
Family Medicine Physician 207Q00000X 4301105897 MI Primary

Addresses

Primary practice location

6250 Old Dobbin LN
Columbia, MD 21045-5816

Mailing address

6230 Old Dobbin LN Ste 230
Columbia, MD 21045-5884
Phone (410) 730-3399

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
I20230906004154 MD Practitioner - Family Practice 4880913987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centennial Medical Group, PAGroup PAC ID 2668466038, 34 clinicians

Practice addresses (Care Compare)

10120 Baltimore National Pike
Ellicott City, MD 21042-3614
Phone (410) 730-3399

Hospital & facility affiliations

  • Home Call, Inc Home health agency, Westminster, MD, CCN 217115
  • Centerwell Home Health Home health agency, Columbia, MD, CCN 217071
  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
  • The Johns Hopkins Home Health Services, Inc Home health agency, Baltimore, MD, CCN 217081

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Medical Group, PA Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Centennial Medical Group, PA Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
First Call Medical Center LLC Current Accepting new patients

Locations

6230 Old Dobbin Ln
Ste 230
Columbia, MD 21045
Phone (443) 312-2111

6250 Old Dobbin Ln
Columbia, MD 21045

8186 Lark Brown Rd
Ste 201202
Elkridge, MD 21075

10120 Baltimore National Pike
Ellicott City, MD 21042
Phone (410) 694-7999

10981 Johns Hopkins Rd
Laurel, MD 20723
Phone (410) 694-7999

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.

Hospital & facility affiliations 7

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": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1922419464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 OLD DOBBIN LN STE 230",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455884",
            "telephone_number": "410-730-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 OLD DOBBIN LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455816",
            "telephone_number": "410-730-3399",
            "fax_number": "443-709-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEBBERT",
        "first_name": "DAVID",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-19",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301105897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.