Individual provider Active NPI

Deepa Patel, M.D.

  • Dermatology Physician
  • Rockville, MD
National Provider Identifier
1114453727
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0093320 Issued in MD
Practice address
15245 Shady Grove Rd Ste 480
Rockville, MD 20850-6243
Phone
(301) 681-7397
NPI assigned
May 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X D0093320 MD Primary

Addresses

Primary practice location

15245 Shady Grove Rd Ste 480
Rockville, MD 20850-6243

Mailing address

3715 Chevy Chase Lake Dr
Chevy Chase, MD 20815-5808
Phone (859) 327-4053

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
I20220323002741 MD Practitioner - Dermatology 4688901770 Reassigns benefits to 1 organization
I20220915001736 DC Practitioner - Dermatology 4688901770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Louisville School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derm Associates LLCGroup PAC ID 4688653306, 44 clinicians

Practice addresses (Care Compare)

10313 Georgia Ave
Silver Spring, MD 20902-5006
Phone (301) 681-7000

15245 Shady Grove Rd
Rockville, MD 20850-6243

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions628
Removal or shaving of skin growth1-10
Skin biopsy444

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0093320MDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Derm Associates LLC Single Specialty CurrentSince May 1, 2022 Accepting new patients
Elizabeth Mitchell Dugan MD LLC Single Specialty Past Accepting new patients
Annapolis Dermatology Center, PA Single Specialty PastSince Jan 11, 1999 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

71 Old Mill Bottom Rd N
Ste 300
Annapolis, MD 21409
Phone (301) 681-7000

15245 Shady Grove Rd
Ste 480
Rockville, MD 20850
Phone (301) 264-5958

10313 Georgia Ave
Ste 309
Silver Spring, MD 20902
Phone (301) 681-4368

Interoperability endpoints

  • Direct secure messaging: dpatel@usdp7.emadirect.md

Organizations & group practices 4

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": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1114453727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 CHEVY CHASE LAKE DR",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208155808",
            "telephone_number": "859-327-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD STE 480",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506243",
            "telephone_number": "301-681-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DEEPA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-03",
        "last_updated": "2022-07-07",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0093320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.