Individual provider Active NPI

Kerry J. Thompson, M.D.

  • Neuroradiology Physician
  • Annapolis, MD
National Provider Identifier
1114918091
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
D0023766 Issued in MD
Practice address
2002 Medical Pkwy
Suite #235
Annapolis, MD 21401-3046
Phone
(410) 266-2770
Fax
(410) 841-6251
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X D0023766 MD Primary
Vascular & Interventional Radiology Physician 2085R0204X D0023766 MD

Addresses

Primary practice location

2002 Medical Pkwy
Suite #235
Annapolis, MD 21401-3046

Mailing address

2002 Medical Pkwy
Suite #235
Annapolis, MD 21401-3046
Phone (410) 266-2770

Other identifiers 8

IdentifierTypeStateIssuer
300014359OtherMDTRAVELERS RR MEDICARE
A15OtherMDAAD PG COUNTY
E545OtherMDAAD SHIPLEYS
E545OtherMDAAD AA COUNTY
339791200MedicaidMD
8317071OtherMDAETNA PPO
10690012OtherMDBCBS
2622593OtherMDAETNA HMO/POS

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041229000200 DC Practitioner - Diagnostic Radiology 6002874658 Reassigns benefits to 2 organizations
I20110120000129 MD Practitioner - Diagnostic Radiology 6002874658 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Maryland School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luminis Health Imaging, Inc.Group PAC ID 8729054598, 22 clinicians
Brown, Croft, Frazier, PAGroup PAC ID 9537101746, 28 clinicians

Practice addresses (Care Compare)

2000 Medical Pkwy
Suite 202
Annapolis, MD 21401-3742

2001 Medical Pkwy
Annapolis, MD 21401-3773
Phone (410) 266-2770

2002 Medical Pkwy
Annapolis, MD 21401-3046
Phone (443) 481-5330

4175 N Hanson CT
Bowie, MD 20716-3179
Phone (443) 481-3260

8116 Good Luck Rd
Suite 101
Lanham, MD 20706-3513
Phone (443) 481-5335

8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (410) 266-2770

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Imaging, Inc. CurrentSince Jan 1, 1975 Accepting new patients
Meritus Medical Center Inc Current Accepting new patients
Meritus Medical Center Inc CurrentSince Feb 10, 2025 Accepting new patients
Brown, Croft, Frazier, PA Neuroradiology CurrentSince Jan 1, 1975 Accepting new patients
Meritus Medical Center Inc CurrentSince Feb 10, 2025 Accepting new patients
Luminis Health Imaging, Inc. CurrentSince Jan 1, 1975 Accepting new patients
Shipley's Imaging, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Orthopaedic and Sports Medicine Center LLC Past Accepting new patients
David L Bloom PA Past Accepting new patients

Locations

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

2002 Medical Pkwy
Ste 235
Annapolis, MD 21401

2002 Medical Pkwy
Annapolis, MD 21401
Phone (443) 481-4915

2002 Medical Pkwy
Ste 100
Annapolis, MD 21401
Phone (443) 481-4915

4175 N Hanson Ct
Bowie, MD 20716
Phone (301) 464-0798

4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190

2108 Red Apple Plz
Chester, MD 21619
Phone (410) 643-6205

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

8601 Veterans Hwy
Ste 100
Millersville, MD 21108
Phone (410) 729-4450

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.

Hospital & facility affiliations 4

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235692800000",
    "number": "1114918091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 MEDICAL PKWY",
            "address_2": "SUITE #235",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013046",
            "telephone_number": "410-266-2770",
            "fax_number": "410-841-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 MEDICAL PKWY",
            "address_2": "SUITE #235",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013046",
            "telephone_number": "410-266-2770",
            "fax_number": "410-841-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KERRY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2009-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MD",
            "license": "D0023766",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MD",
            "license": "D0023766",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS RR MEDICARE",
            "identifier": "300014359",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAD PG COUNTY",
            "identifier": "A15",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAD SHIPLEYS",
            "identifier": "E545",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAD AA COUNTY",
            "identifier": "E545",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "339791200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "8317071",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "10690012",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO/POS",
            "identifier": "2622593",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.