DEBOBETH MEDICAL CENTER
NPI 1043791122
Clinic/Center - Health Service in Baltimore, MD

Active since August 27, 2018
3109 ERDMAN AVE, BALTIMORE, MD 21213(443) 904-5129 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2026, Aug 27, 2018 (2 updates tracked since 2018).

About Debobeth Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBOBETH MEDICAL CENTER (NPI 1043791122) is a healthcare organization registered as a health service in Baltimore, Maryland and active in the NPI registry since August 2018. The organization lists Mercy Fadoju, Provider, as its authorized official.

NPPES Registry Identity

NPI1043791122
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameDEBOBETH MEDICAL CENTER
Location Address3109 ERDMAN AVEBaltimore, MD 21213-1765
Mailing Address3109 Erdman AveBaltimore, MD 21213-1765 · (443) 904-5129
Organization SubpartNo
Authorized OfficialMercy FadojuProvider · (443) 904-5129
Enumeration DateAugust 27, 2018
Last NPPES UpdateApril 17, 20262 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
NPI 1043791122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License Licensed in MD · W18743245
3109 ERDMAN AVE, Baltimore, MD 21213

Other Identifiers 1

Medicaid168716600MD

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
3109 ERDMAN AVE
BALTIMORE, MD 21213
Clinic/Center (Mental Health (Including Community Mental Health Center))
3109 ERDMAN AVE
BALTIMORE, MD 21213
Psychiatry & Neurology (Addiction Psychiatry)
3109 ERDMAN AVE
BALTIMORE, MD 21213
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)
3109 ERDMAN AVE
BALTIMORE, MD 21213
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)
3109 ERDMAN AVE
BALTIMORE, MD 21213
Nurse Practitioner
3109 ERDMAN AVE
BALTIMORE, MD 21213

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Debobeth Medical Center's NPI number?

The NPI number for Debobeth Medical Center is 1043791122. It was assigned to this organization in the NPPES registry on August 27, 2018.

Where is Debobeth Medical Center located?

Debobeth Medical Center is located at 3109 Erdman Ave, Baltimore, MD 21213. The listed phone number is (443) 904-5129.

What is Debobeth Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Debobeth Medical Center was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.