Active NPI
Kevin Connolly
- Otolaryngology Physician
- Owings Mills, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- D0095991
- Practice address
- 23 Crossroads Dr Ste 400
Owings Mills, MD 21117-5490 - Phone
- (410) 356-2626
- NPI assigned
- May 2, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | D0095991 | MD | Primary |
Addresses
Primary practice location
23 Crossroads Dr Ste 400
Owings Mills, MD 21117-5490
Mailing address
2002 Medical Pkwy Ste 230
Annapolis, MD 21401-3282
Phone (410) 266-3900
Other practice location 1
10025 Governor Warfield Pkwy Ste 101
Columbia, MD 21044-3308
Phone (410) 356-2626
Other practice location 2
5233 King Ave Ste 112
Rosedale, MD 21237-4003
Phone (410) 356-2626
Other practice location 3
410 Malcolm Dr Ste E
Westminster, MD 21157-6160
Phone (410) 356-2626
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Louisville School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
23 Crossroads Dr
Suite 400
Owings Mills, MD 21117-5490
Phone (410) 356-2626
3701 N Charles St
South Chapman Building Suite 102
Towson, MD 21204-6808
6535 N Charles St
Baltimore, MD 21204-5829
6565 N Charles St
Baltimore, MD 21204-6808
6569 N Charles St
Suite 505
Baltimore, MD 21204-6808
Phone (443) 849-2658
6569 N Charles St PPW Room
307 GYN Specialists
Baltimore, MD 21204-6808
Phone (443) 849-6123
6569 N Charles Street
504 Hoover Low Vision GBMC
Baltimore, MD 21204-6808
Phone (443) 849-2658
6701 N Charles St
Baltamore, MD 21204-6808
6701 N Charles St BLDG
S Chapman BLDG Suite 102
Baltimore, MD 21204-6808
6701 N Charles St Unit
Baltimore, MD 21204-6808
Phone (443) 849-3131
Hospital & facility affiliations
- Greater Baltimore Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.41 of 100
- Quality
- 85.51
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0095991 | MD | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Baltimore Medical Center, Inc. | Current | Accepting new patients | |
| Greater Baltimore Medical Center, Inc. | Current | Accepting new patients | |
| Greater Baltimore Medical Center, Inc | Current | Accepting new patients | |
| Annapolis ENT Surgical Center LLC | Current | Accepting new patients | |
| Annapolis ENT Surgical Center, LLC | Past | Accepting new patients |
Locations
2002 Medical Pkwy
Ste 230
Annapolis, MD 21401
Phone (410) 226-3900
10025 Governor Warfield Pkwy
Ste 101
Columbia, MD 21044
Phone (410) 356-2626
10400 Little Patuxent Pkwy
Ste 300
Columbia, MD 21044
Phone (410) 356-2626
23 Crossroads Dr
Ste 400
Owings Mills, MD 21117
Phone (410) 356-2626
5233 King Ave
Ste 112
Rosedale, MD 21237
Phone (410) 238-0057
6535 N Charles St
Ste 250
Towson, MD 21204
Phone (443) 849-2140
410 Malcolm Dr
Ste E
Westminster, MD 21157
Phone (410) 356-2626
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 and National Provider Directory roles.
-
- Specialist
- Annapolis, MD
- NPI 1275372617
-
- Obstetrics & Gynecology Physician
- Baltimore, MD
- NPI 1891855763
-
- Audiologist
- Baltimore, MD
- NPI 1194973396
-
- Sleep Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1538029731
-
- Ambulatory Surgical Clinic/Center
- Annapolis, MD
- NPI 1629094917
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1255372397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1104352764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 MEDICAL PKWY STE 230",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013282",
"telephone_number": "410-266-3900",
"fax_number": "888-223-8242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 CROSSROADS DR STE 400",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211175490",
"telephone_number": "410-356-2626"
}
],
"practiceLocations": [
{
"address_1": "10025 Governor Warfield Pkwy Ste 101",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MD",
"postal_code": "210443308",
"country_code": "US",
"telephone_number": "410-356-2626",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5233 King Ave Ste 112",
"address_purpose": "LOCATION",
"city": "Rosedale",
"state": "MD",
"postal_code": "212374003",
"country_code": "US",
"telephone_number": "410-356-2626",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "410 Malcolm Dr Ste E",
"address_purpose": "LOCATION",
"city": "Westminster",
"state": "MD",
"postal_code": "211576160",
"country_code": "US",
"telephone_number": "410-356-2626",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONNOLLY",
"first_name": "KEVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-02",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MD",
"license": "D0095991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owings Mills, MD
- Comprehensive Healthcare Services LLC.
- Comprehensive Integrated Allied Healthcare Services, LLC
- Comprehensive Primary Care and Associates LLC
- Nova N Conetta, D.C.
- Connected Care Behavioral Health LLC
- Ryan James Conover
- Constantly Evolving
- Swadu Conteh
- William Leo Cook, LCPC
- Scott B Coon, PT MTC CFMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.