Individual provider Active NPI

Valerie Dawn Callender, M.D.

  • Dermatology Physician
  • Glenn Dale, MD
National Provider Identifier
1245389717
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0035709 Issued in MD
Practice address
12200 Annapolis Rd
Suite 315
Glenn Dale, MD 20769-9182
Phone
(301) 249-0970
Fax
(301) 249-4246
NPI assigned
Jan 10, 2007
Last updated
Aug 11, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D0035709 MD Primary
Procedural Dermatology Physician 207NS0135X D0035709 MD

Addresses

Primary practice location

12200 Annapolis Rd
Suite 315
Glenn Dale, MD 20769-9182

Mailing address

12200 Annapolis Rd
Suite 315
Glenn Dale, MD 20769-9182
Phone (301) 249-0970

Other identifiers 4

IdentifierTypeStateIssuer
1025208OtherMDAETNA INSURANCE
A6270001OtherMDBCBS INSURANCE
42088OtherMDMDIPA INSURANCE
CCC1OtherMDBCBS MARYLAND INSURANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20101130000803 DC Practitioner - Dermatology 3072709245 Reassigns benefits to 1 organization
Practice locations: Glenn Dale, MD

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Howard University College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12200 Annapolis Rd
Glenn Dale, MD 20769-9182
Phone (301) 249-0970

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions416
Removal or shaving of skin growth1-10
Skin biopsy70

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17809MDMDSocial Worker
D0035709MDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valerie Callender M. D. PC CurrentSince Jun 11, 1990 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

12200 Annapolis Rd
Ste 315
Glenn Dale, MD 20769
Phone (301) 249-0970

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1245389717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 ANNAPOLIS RD",
            "address_2": "SUITE 315",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699182",
            "telephone_number": "301-249-0970",
            "fax_number": "301-249-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 ANNAPOLIS RD",
            "address_2": "SUITE 315",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699182",
            "telephone_number": "301-249-0970",
            "fax_number": "301-249-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLENDER",
        "first_name": "VALERIE",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0035709",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MD",
            "license": "D0035709",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE",
            "identifier": "1025208",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INSURANCE",
            "identifier": "A6270001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA INSURANCE",
            "identifier": "42088",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MARYLAND INSURANCE",
            "identifier": "CCC1",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenn Dale, MD

Sources for this page

Verify at the official NPI Registry.