Active NPI
Gene S Mirkin, DPM
- Podiatrist
- Kensington, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1071
- Practice address
- 10901 Connecticut Ave
Suite 200
Kensington, MD 20895-1645 - Phone
- (301) 949-2000
- Fax
- (301) 949-2002
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1071 | MD | Primary |
Addresses
Primary practice location
10901 Connecticut Ave
Suite 200
Kensington, MD 20895-1645
Mailing address
1600 E Gude Dr
Suite 200
Rockville, MD 20850-1341
Phone (301) 933-7133
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061368100 | Medicaid | MD | |
| 442183301 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8028 Ritchie Hwy 100
Pasadena, MD 21122-1020
Phone (410) 768-5800
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.95 of 100
- Promoting interoperability
- 87
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 19 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 439 |
| Removal or shaving of skin growth | 69 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1071 | MD | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mirkin Foot Associates PA | Podiatrist | Current | Accepting new patients |
| Foot and Ankle Specialists of the Mid-Atlantic, LLC | Podiatrist | Current | Accepting new patients |
| Foot & Ankle Associates DRS Liss & Mirkin PA | Current | Accepting new patients | |
| Foot and Ankle Specialists of the Mid-Atlantic, LLC | Podiatrist | Current | Accepting new patients |
| Foot and Ankle Associates LLP | Podiatrist | Past | Accepting new patients |
| Palmetto Podiatry Group of Anderson, PA | Podiatrist | Past | Accepting new patients |
| Palmetto Podiatry Group of Anderson, PA | Past | Accepting new patients | |
| Palmetto Podiatry Group of Anderson, PA | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Gene S. Mirkin | Podiatrist | Past | Accepting new patients |
| Maryland Pediatric Orthopaedic Center | Past | Accepting new patients | |
| Ocean County Foot & Ankle Surgical Associates | Podiatrist | Past | Accepting new patients |
| Palmetto Podiatry Group of Anderson, PA | Podiatrist | Past | Accepting new patients |
| Palmetto Podiatry Group of Anderson, PA | Podiatrist | Past | Accepting new patients |
| Maryland Foot and Ankle Associates, LLC | Past | Accepting new patients |
Locations
128 Lubrano Dr
Ste 301
Annapolis, MD 21401
Phone (410) 544-4263
10901 Connecticut Ave
Ste 200
Kensington, MD 20895
Phone (301) 949-2000
8028 Ritchie Hwy
Ste 100
Pasadena, MD 21122
Phone (410) 356-9939
1600 E Gude Dr
Ste 200
Rockville, MD 20850
2415 Musgrove Rd
Ste 103
Silver Spring, MD 20904
Phone (301) 384-6500
Organizations & group practices 15
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.
-
dba Kensington Surgery Center
- Foot & Ankle Surgery Podiatrist
- Kensington, MD
- NPI 1619922259
-
- Podiatrist
- Kensington, MD
- NPI 1205941192
-
- Foot & Ankle Surgery Podiatrist
- Kensington, MD
- NPI 1407045545
-
dba Allaire Foot & Ankle Center
- Podiatrist
- Manasquan, NJ
- NPI 1669359550
-
- Podiatrist
- Concord, NC
- NPI 1255213997
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Specialist
- Mount Airy, MD
- NPI 1699870659
-
- Podiatrist
- Newark, DE
- NPI 1023178258
-
- Podiatrist
- Anderson, SC
- NPI 1043316987
-
- Podiatrist
- Rock Hill, SC
- NPI 1336181668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543363200000",
"number": "1053381095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 E GUDE DR",
"address_2": "SUITE 200",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208501341",
"telephone_number": "301-933-7133",
"fax_number": "301-933-7137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10901 CONNECTICUT AVE",
"address_2": "SUITE 200",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208951645",
"telephone_number": "301-949-2000",
"fax_number": "301-949-2002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRKIN",
"first_name": "GENE",
"middle_name": "S",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2018-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MD",
"license": "1071",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "061368100",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "442183301",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kensington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.