MR. GARY ROSS FENNEL PA-C
NPI 1295889418
Physician Assistant - Surgical in Takoma Park, MD

Q: What is Gary Fennel's NPI number?

The NPI number for Gary Fennel is 1295889418. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Q: What is Gary Fennel's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Gary Fennel was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.

Active since January 23, 2007PECOS EnrolledAccepts Medicare Assignment

7600 CARROLL AVE, WASHINGTON ADVENTIST HOSPITAL, TAKOMA PARK, MD 20912(301) 891-7600(301) 891-6313 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Gary Ross Fennel Pa-c NPPES

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

MR. GARY ROSS FENNEL PA-C (NPI 1295889418) is an individual surgical provider in Takoma Park, Maryland, licensed in Maryland (C0000622) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1295889418

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. GARY ROSS FENNELCredential: PA-C

Location Address7600 CARROLL AVE, WASHINGTON ADVENTIST HOSPITALTakoma Park, MD 20912-6367

Mailing Address15714 Thistlebridge DrRockville, MD 20853-3226 · (301) 924-5388 · Fax (301) 891-6313

Phone(301) 891-7600

Fax(301) 891-6313

Sole ProprietorNo

Medical School CMSOtherGraduated 1982

Enumeration DateJanuary 23, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1295889418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in MD · C0000622

7600 CARROLL AVE, Takoma Park, MD 20912

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Gary Ross Fennel Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163598731

PECOS Enrollment IDI20080904000607

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

MRS. REGINA SUGGS ERNEST OTR

Occupational Therapist

7600 CARROLL AVE
TAKOMA PARK, MD 20912

Montgomery County (301) 891-5391

MR. JASON ROBERT BARFUSS PA-C

Physician Assistant (Surgical)

7600 CARROLL AVE
TAKOMA PARK, MD 20912

Montgomery County (301) 891-7600

LEA STERN MD

Anesthesiology

7600 CARROLL AVE
TAKOMA PARK, MD 20912

Montgomery County (301) 891-5520

CATHERINE WEBB

Physical Therapist

7600 CARROLL AVE
TAKOMA PARK, MD 20912

Montgomery County (301) 891-5391

MRS. JOANNA MARIE HOLT NP

Nurse Practitioner (Adult Health)

7600 CARROLL AVE
TAKOMA PARK, MD 20912

Montgomery County (301) 891-7600

MASHANDA CAMILLE DODSON PT, MPT

Physical Therapist

7600 CARROLL AVE, UNIT 5200
TAKOMA PARK, MD 20912

Montgomery County (301) 891-5560

MRS. EILEEN SMITH WHITAKER M.A.-CCC SLP

Speech-Language Pathologist

7600 CARROLL AVE
TAKOMA PARK, MD 20912

Montgomery County (301) 891-5392

MEDICAL FACULTY ASSOCIATES INC

Internal Medicine

7600 CARROLL AVE
TAKOMA PARK, MD 20912

Montgomery County (202) 741-3350

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 Gary Fennel's NPI number?

The NPI number for Gary Fennel is 1295889418. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Gary Fennel located?

Gary Fennel practices at 7600 Carroll Ave Washington Adventist Hospital, Takoma Park, MD 20912. The listed phone number is (301) 891-7600.

What is Gary Fennel's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Gary Fennel enrolled in Medicare?

Yes. Gary Fennel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Gary Fennel was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.