Individual provider Active NPI

Christine D Ambro, MD

  • Dermatology Physician
  • Annapolis, MD
National Provider Identifier
1124089362
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0064757 Issued in MD
Practice address
71 Old Mill Bottom Rd N
Suite 300
Annapolis, MD 21409-5431
Phone
(410) 268-3887
Fax
(410) 268-8171
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D0064757 MD Primary

Addresses

Primary practice location

71 Old Mill Bottom Rd N
Suite 300
Annapolis, MD 21409-5431

Mailing address

71 Old Mill Bottom Rd N
Suite 300
Annapolis, MD 21409-5431
Phone (410) 268-3887

Other identifiers 1

IdentifierTypeStateIssuer
488701800MedicaidMD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070126000508 MD Practitioner - Dermatology 0648242909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Jefferson Medical College of Thomas Jefferson University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derm Associates LLC 44 clinicians

Practice addresses (Care Compare)

71 Old Mill Bottom Rd N
Suite 300
Annapolis, MD 21409-5473
Phone (301) 681-7000

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) excision66
Removal of skin lesions1359
Removal or shaving of skin growth16
Skin biopsy337

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0064757MDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Derm Associates LLC Dermatology CurrentSince Aug 1, 2018 Accepting new patients

Locations

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

Organizations & group practices 1

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1124089362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 OLD MILL BOTTOM RD N",
            "address_2": "SUITE 300",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214095431",
            "telephone_number": "410-268-3887",
            "fax_number": "410-268-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 OLD MILL BOTTOM RD N",
            "address_2": "SUITE 300",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214095431",
            "telephone_number": "410-268-3887",
            "fax_number": "410-268-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBRO",
        "first_name": "CHRISTINE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0064757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "488701800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.