Active NPI
Christine D Ambro, MD
- Dermatology Physician
- Annapolis, MD
National Provider Identifier
1124089362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- D0064757
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 488701800 | Medicaid | MD |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 66 |
| Removal of skin lesions | 1359 |
| Removal or shaving of skin growth | 16 |
| Skin biopsy | 337 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0064757 | MD | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Derm Associates LLC | Dermatology | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.