Individual provider Active NPI

Ira L Fedder, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Towson, MD
National Provider Identifier
1962425223
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
D0037294 Issued in MD
Practice address
7505 Osler Dr
Suite 104
Towson, MD 21204-7736
Phone
(410) 337-8888
Fax
(410) 823-4833
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X D0037294 MD Primary

Addresses

Primary practice location

7505 Osler Dr
Suite 104
Towson, MD 21204-7736

Mailing address

7505 Osler Dr
Suite 104
Towson, MD 21204-7736
Phone (410) 337-8888

Other identifiers 1

IdentifierTypeStateIssuer
330511200MedicaidMD

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
I20040330000580 MD Practitioner - Orthopedic Surgery 7810989126 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Orthopaedics, LLC CurrentSince Feb 1, 2013 Accepting new patients
University of Maryland St. Joseph Orthopaedics, LLC CurrentSince Feb 1, 2013 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Feb 1, 2021 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Feb 1, 2021 Accepting new patients
Orthopaedic Associates, PA PastSince Mar 18, 1994 Accepting new patients
Orthopaedic Associates, PA Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

9110 Philadelphia Rd
Ste 308
Rosedale, MD 21237
Phone (410) 337-7900

8322 Bellona Ave
Rm 100
Towson, MD 21204
Phone (410) 337-7900

8322 Bellona Ave
Towson, MD 21204
Phone (410) 328-3645

7505 Osler Dr
Ste 104
Towson, MD 21204
Phone (410) 337-8888

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

Interoperability endpoints

  • Direct secure messaging: irafedder@towsonorth.allscriptsdirect.net
  • Direct secure messaging: ifedder121200@direct.umm.edu

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1962425223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 OSLER DR",
            "address_2": "SUITE 104",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047736",
            "telephone_number": "410-337-8888",
            "fax_number": "410-823-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 OSLER DR",
            "address_2": "SUITE 104",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047736",
            "telephone_number": "410-337-8888",
            "fax_number": "410-823-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDDER",
        "first_name": "IRA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MD",
            "license": "D0037294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330511200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.