Individual provider Active NPI

Carl Douglas Lord, M.D.

  • Obstetrics & Gynecology Physician
  • Columbia, MD
National Provider Identifier
1063462349
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0006796 Issued in MD
Practice address
9755 Patuxent Woods Dr Ste 100
Columbia, MD 21046-2288
Phone
(800) 762-6282
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D0006796 MD Primary

Addresses

Primary practice location

9755 Patuxent Woods Dr Ste 100
Columbia, MD 21046-2288

Mailing address

9755 Patuxent Woods Dr Ste 100
Columbia, MD 21046-2288
Phone (800) 762-6282

Other identifiers 1

IdentifierTypeStateIssuer
11457MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA, FL, NJ, NY6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20090305000488 DC Practitioner - Obstetrics/Gynecology 1759447311
I20211006000054 MD Practitioner - Obstetrics/Gynecology 1759447311
I20230227001941 VA Practitioner - Obstetrics/Gynecology 1759447311
I20240214000508 FL Practitioner - Obstetrics/Gynecology 1759447311
I20240522001608 NJ Practitioner - Obstetrics/Gynecology 1759447311 Reassigns benefits to 1 organization
I20240621000333 NY Practitioner - Obstetrics/Gynecology 1759447311

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Loma Linda University School of Medicine, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nava Health Medical Group, LLCGroup PAC ID 7517366149, 5 clinicians

Practice addresses (Care Compare)

309 Main St
Madison, NJ 07940-2338
Phone (800) 762-6282

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0006796MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Wellness DC, LLC Current Accepting new patients
Nava Health Medical Group, LLC Past Accepting new patients
Nava Health Medical Group, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Nava Health Medical Group, LLC Past Accepting new patients
Nava Health Medical Group, LLC Past Accepting new patients
Nava Health Medical Group, LLC Past Accepting new patients
Nava Health Medical Group, LLC Past Accepting new patients
Nava Health Medical Group, LLC Obstetrics & Gynecology Past Accepting new patients

Locations

9755 Patuxent Woods Dr
Ste 100
Columbia, MD 21046
Phone (410) 910-5959

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1063462349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9755 PATUXENT WOODS DR STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462288",
            "telephone_number": "800-762-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9755 PATUXENT WOODS DR STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462288",
            "telephone_number": "800-762-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORD",
        "first_name": "CARL",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0006796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11457",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.