Individual provider Active NPI

Kisha Perkins Brown, MD

  • Physical Medicine & Rehabilitation Physician
  • Upper Marlboro, MD
National Provider Identifier
1053456566
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
P17503 Issued in MD
Practice address
12505 Dorsey LN
Upper Marlboro, MD 20772-5374
Phone
(301) 868-4446
NPI assigned
Feb 21, 2007
Last updated
Sep 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X P17503 MD Primary

Addresses

Primary practice location

12505 Dorsey LN
Upper Marlboro, MD 20772-5374

Mailing address

12505 Dorsey LN
Upper Marlboro, MD 20772-5374
Phone (301) 868-4446

Other names 1

  • Kisha Aileen Perkins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080215000482 MD Practitioner - Physical Medicine and RehabilitationPractitioner - Internal Medicine 0547343451
I20081210000373 DC Practitioner - Physical Medicine and RehabilitationPractitioner - Internal Medicine 0547343451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Internal Medicine
Education
University of Maryland School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2900 Mercy LN
Cheverly, MD 20785-1157
Phone (301) 618-2273

901 Harry S Truman Dr N
Upper Marlboro, MD 20774-5477
Phone (240) 677-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.64 of 100Reported as group
Quality
88.96
Promoting interoperability
100
Improvement activities
40
Cost
73.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P17503MDMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dimensions Healthcare Associates, Inc. Current Accepting new patients
Dimensions Health Associates Dba University of Maryland Capital Region CurrentSince Mar 1, 2015 Accepting new patients
Dimensions Healthcare Associates Inc CurrentSince Mar 1, 2015 Accepting new patients
Centers for Rehabilitation, Pain MGMT, & Wellness Physical Medicine & Rehabilitation Past Accepting new patients

Locations

2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021

Interoperability endpoints

  • Direct secure messaging: kbrown7239@direct.umm.edu

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1053456566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12505 DORSEY LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725374",
            "telephone_number": "301-868-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12505 DORSEY LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725374",
            "telephone_number": "301-868-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KISHA",
        "middle_name": "PERKINS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "P17503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KISHA",
            "last_name": "PERKINS",
            "middle_name": "AILEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.