Individual provider Active NPI

Bruce Arlan Rabin, M.D.. PH.D.

  • Neurology Physician
  • Lutherville, MD
National Provider Identifier
1972557122
Registry record updated Feb 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D0044850 Issued in MD
Practice address
10753 Falls Rd Ste 345
Lutherville, MD 21093-4598
Phone
(410) 616-7188
Fax
(410) 616-7131
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X D0044850 MD
Neurology Physician 2084N0400X D0044850 MD Primary

Addresses

Primary practice location

10753 Falls Rd Ste 345
Lutherville, MD 21093-4598

Mailing address

10753 Falls Rd Ste 345
Lutherville, MD 21093-4598
Phone (410) 616-7188

Other identifiers 1

IdentifierTypeStateIssuer
644061401MedicaidMD

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
I20040527000157 MD Practitioner - Neurology 2264413020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.02 of 100Reported as group
Quality
65.13
Promoting interoperability
98
Improvement activities
40
Cost
76.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0044850MDMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Regional Physicians LLC Current Accepting new patients
Johns Hopkins Regional Physicians LLC Neurology CurrentSince Jan 1, 2022 Accepting new patients
Johns Hopkins Regional Physicians LLC CurrentSince Jan 1, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10710 Charter Dr
Ste 400
Columbia, MD 21044
Phone (410) 997-7979

10753 Falls Rd
Ste 345
Lutherville Timonium, MD 21093
Phone (410) 616-7188

1300 York Rd
Ste 30D
Lutherville Timonium, MD 21093
Phone (443) 275-1337

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

10803 Falls Rd
Timonium, MD 21093
Phone (410) 532-4714

Organizations & group practices 4

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581811200000",
    "number": "1972557122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10753 FALLS RD STE 345",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934598",
            "telephone_number": "410-616-7188",
            "fax_number": "410-616-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10753 FALLS RD STE 345",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934598",
            "telephone_number": "410-616-7188",
            "fax_number": "410-616-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABIN",
        "first_name": "BRUCE",
        "middle_name": "ARLAN",
        "name_prefix": "Dr.",
        "credential": "M.D.. PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-02-16",
        "certification_date": "2020-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "MD",
            "license": "D0044850",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0044850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "644061401",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.