Individual provider Active NPI

Gene S Mirkin, DPM

  • Podiatrist
  • Kensington, MD
National Provider Identifier
1053381095
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1071 Issued in MD
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

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
061368100MedicaidMD
442183301MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070827000655 DC Practitioner - Podiatry 0749372365 Reassigns benefits to 1 organization
I20140228001561 MD Practitioner - Podiatry 0749372365 Reassigns benefits to 1 organization

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 100Reported as group
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue19
Removal of skin lesions1-10
Removal of nail tissue439
Removal or shaving of skin growth69
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1071MDMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mirkin Foot Associates PA Podiatrist CurrentSince Oct 1, 2007 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Oct 1, 2011 Accepting new patients
Foot & Ankle Associates DRS Liss & Mirkin PA Current Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Oct 1, 2011 Accepting new patients
Foot and Ankle Associates LLP Podiatrist PastSince Jan 1, 2022 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 PastSince Sep 16, 1994 Accepting new patients
Maryland Pediatric Orthopaedic Center Past Accepting new patients
Ocean County Foot & Ankle Surgical Associates Podiatrist PastSince Feb 29, 2024 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.

View all 15

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

Verify at the official NPI Registry.