MR. EBENEZER NETTEY MD
NPI 1316090855
Obstetrics & Gynecology - Gynecology in Clinton, MD
About Mr. Ebenezer Nettey Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. EBENEZER NETTEY MD (NPI 1316090855) is an individual gynecology provider in Clinton, Maryland, licensed in Maryland (D0036594) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Ebenezer Nettey Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ebenezer Nettey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Washington, DC 20036
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 3,530 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20735 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLINTON, MD 20735
CLINTON, MD 20735
CLINTON, MD 20735
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 Ebenezer Nettey's NPI number?
The NPI number for Ebenezer Nettey is 1316090855. It was assigned to this individual provider in the NPPES registry on January 19, 2007.
Where is Ebenezer Nettey located?
Ebenezer Nettey practices at 10401 Hospital Drive Suite 103, Clinton, MD 20735. The listed phone number is (301) 932-8580.
What is Ebenezer Nettey's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.
Is Ebenezer Nettey enrolled in Medicare?
Yes. Ebenezer Nettey is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ebenezer Nettey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ebenezer Nettey reassigns Medicare benefits to Medstar Medical Group II LLC (Washington, DC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ebenezer Nettey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ebenezer Nettey was last updated on February 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mr. Ebenezer Nettey, MD · NPI 1316090855
Gynecology physician in Clinton, Maryland. Individual provider, active in the CMS NPPES registry since January 19, 2007.
## Identity
- **NPI:** 1316090855 (Entity type: Individual)
- **Enumerated:** January 19, 2007
- **Primary specialty:** Obstetrics & Gynecology - Gynecology · taxonomy 207VG0400X
- **State license:** D0036594 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 10401 HOSPITAL DRIVE, SUITE 103, Clinton, MD 20735
- **Phone:** (301) 932-8580
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Medstar Medical Group II LLC (NPI 1376887844, Washington, DC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 14, 2012
- **Other identifiers:** Medicare ID-Type Unspecified 135101401; Medicaid 36594100 (MD); Medicare UPIN F22269
---
Source: [NPI Profile](https://npiprofile.com/npi/1316090855) · Data from the CMS NPPES public registry.