Individual provider Active NPI

Kenneth Roger Woo, M.D.

  • Urology Physician
  • Forest Hill, MD
National Provider Identifier
1003887019
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
D0058566 Issued in MD
Practice address
2007 Rock Spring Rd
Forest Hill, MD 21050-2620
Phone
(410) 879-4879
NPI assigned
Jan 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X D0058566 MD Primary

Addresses

Primary practice location

2007 Rock Spring Rd
Forest Hill, MD 21050-2620

Mailing address

2007 Rock Spring Rd
Forest Hill, MD 21050-2620
Phone (410) 879-4879

Other identifiers 1

IdentifierTypeStateIssuer
986561602MedicaidMD

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
I20090309000146 MD Practitioner - Urology 1658437132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Icahn School of Medicine at Mount Sinai, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harne,Song and Woo, M.D.,P.a.Group PAC ID 9133169006, 3 clinicians

Practice addresses (Care Compare)

2007 Rock Spring Rd
Forest Hill, MD 21050-2620
Phone (410) 879-4879

464 Alliance St
Havre de Grace, MD 21078-3544
Phone (410) 939-9004

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Forest Hill, MD, CCN 217045
  • University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002
  • Umd Upper Chesapeake Medical Center Hospital, Bel Air, MD, CCN 210049
  • Union Hospital of Cecil County Hospital, Elkton, MD, CCN 210032

Merit-based Incentive Payment System (MIPS)

Final score
84.74 of 100Reported as group
Quality
69.48
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0058566MDMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bel Air Ambulatory Surgical Center ,L.L.C. Current Accepting new patients
Harne,Song and Woo, M.D.,P.a. CurrentSince Aug 1, 2002 Accepting new patients

Locations

2007 Rock Spring Rd
Ste 1
Forest Hill, MD 21050

2007 Rock Spring Rd
Forest Hill, MD 21050
Phone (410) 838-7232

464 Alliance St
Hvre de Grace, MD 21078
Phone (410) 939-9004

Interoperability endpoints

  • Direct secure messaging: kennethwoo@hswmdpa.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1003887019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 ROCK SPRING RD",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502620",
            "telephone_number": "410-879-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 ROCK SPRING RD",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502620",
            "telephone_number": "410-879-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOO",
        "first_name": "KENNETH",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MD",
            "license": "D0058566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "986561602",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hill, MD

Sources for this page

Verify at the official NPI Registry.