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

NPI Status: Active since August 27, 2018

Contact Information

3109 ERDMAN AVE
BALTIMORE, MD
ZIP 21213
Phone: (443) 904-5129

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  • Organization
  • Clinic/Center
  • Health Service

About DEBOBETH MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Debobeth Medical Center, a provider established in Baltimore, Maryland operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1043791122 assigned on August 2018. The practitioner's primary taxonomy code is 261QH0100X with license number W18743245 (MD). The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is Mercy Fadoju (Provider)

NPI
1043791122
Provider Name
DEBOBETH MEDICAL CENTER
Entity Type
Organization
Location Address
3109 ERDMAN AVE BALTIMORE, MD 21213
Location Phone
(443) 904-5129
Mailing Address
3109 ERDMAN AVE BALTIMORE, MD 21213
Mailing Phone
(443) 904-5129
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-27-2018
Last Update Date
04-17-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities
License No.
W18743245
License State
MD

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MERCY FADOJU

Authorized Official Title
PROVIDER
Authorized Official Phone
(443) 904-5129

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
168716600MEDICAID (05)MD 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1043791122, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 7 → 14 → 5 1 → 2 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 8 + 3 + 1 + 4 + 9 + 2 + 1 + 4 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1043791122.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Pharmacy (Community/Retail Pharmacy)
3109 ERDMAN AVE
BALTIMORE, MD 21213
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)
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
Nurse Practitioner
3109 ERDMAN AVE
BALTIMORE, MD 21213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043791122, enumerated as an "organization" on August 27, 2018.

The provider is located at 3109 ERDMAN AVE BALTIMORE, MD 21213 and the phone number is (443) 904-5129.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.