Joseph Gerard Proebstle, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

01059 Issued in MD

Practice address

8023 Ritchie Hwy
Pasadena, MD 21122-7107

Phone

(410) 761-3338

Fax

(410) 761-0265

NPI assigned

Jul 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of MD Baltimore Washington Medical Center Hospital, Glen Burnie, MD, CCN 210043

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pasadena Foot and Ankle Center, LLC

  • Podiatrist
  • Pasadena, MD
  • NPI 1124385505
  Medicare reassignment NPD Authorized official
• Bayside Surgical Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Pasadena, MD
  • NPI 1407967706
  NPD
• Bayside Foot & Ankle Center

  • Foot Surgery Podiatrist
  • Pasadena, MD
  • NPI 1336264951
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baltimore Washington Medical Center Inc.

  • General Acute Care Hospital
  • Glen Burnie, MD
  • NPI 1124016696
  Care Compare affiliation

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1972501906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8023 RITCHIE HWY",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211227107",
            "telephone_number": "410-761-3338",
            "fax_number": "410-761-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8023 RITCHIE HWY",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211227107",
            "telephone_number": "410-761-3338",
            "fax_number": "410-761-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROEBSTLE",
        "first_name": "JOSEPH",
        "middle_name": "GERARD",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "CD0XJG",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "455037358",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "359218900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DS9585",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "AC99",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Ann Plummer
• Elizabeth Popovich-Scott
• Ashley K Powell, LCSW-C
• Barry A. Preiss, O.D.
• Prince Healthcare Services LLC
• Progressive Physical Therapy, LLC
• Project Chesapeake, LLC
• Project Chesapeake, LLC
• Project Chesapeake, LLC
• Project Chesapeake, LLC

• Podiatrist in Pasadena, MD
• Providers in Pasadena, MD by specialty
• Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.