Robert N Dougherty, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0005619 Issued in MD

Practice address

520 Upper Chesapeake Dr
Suite 306
Bel Air, MD 21014-4339

Phone

(410) 879-2006

Fax

(410) 879-0248

NPI assigned

Oct 30, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capitol Cardiology Associates, LLCGroup PAC ID 6002714649, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Umd Upper Chesapeake Medical Center Hospital, Bel Air, MD, CCN 210049
• University of MD St Joseph Medical Center Hospital, Towson, MD, CCN 210063

Merit-based Incentive Payment System (MIPS)

Final score

85.84 of 100Reported as group

Quality

73.85

Promoting interoperability

88

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rdougherty155063@direct.umm.edu
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: robert.dougherty.p1@direct.vsadocs.nextgenshare.com

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.

• Capitol Cardiology Associates, LLC

  • Cardiovascular Disease Physician
  • Lanham, MD
  • NPI 1609855733

  DC

  Medicare reassignment Care Compare group
• Vascular Surgery Associates, L.L.C.

  • Vascular Surgery Physician
  • Bel Air, MD
  • NPI 1548222912
  Medicare reassignment
• Vascular Surgery Associates, L.L.C.

  • Durable Medical Equipment & Medical Supplies
  • Westminster, MD
  • NPI 1174234827
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University of Maryland St. Joseph Medical Center, LLC

  • General Acute Care Hospital
  • Towson, MD
  • NPI 1124374079
  Care Compare affiliation
• Upper Chesapeake Medical Center, Inc.

  • General Acute Care Hospital
  • Bel Air, MD
  • NPI 1598761355
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1154726362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR",
            "address_2": "SUITE 306",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144339",
            "telephone_number": "410-879-2006",
            "fax_number": "410-879-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR",
            "address_2": "SUITE 306",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144339",
            "telephone_number": "410-879-2006",
            "fax_number": "410-879-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "ROBERT",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0005619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Donis, ACNP
• Barbara Lynne Donithan, AG-ACNP- BC
• Amy Celeste Donohue, LCSWC
• Hannah Donohue
• Megan Charlotte Donovan, PA-C
• Tytianna Dow, LMSW
• Alicia Christine Dowell, PHARMD
• Donna N Doyle, LCPC
• Kelsey Ann Doyle, NP
• Shannon Micha Dozier, MD

• Physician Assistant in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.

Verify at the official NPI Registry.