Individual provider Active NPI

Sammy S.W. Kang, MD

  • Dermatology Physician
  • Millersville, MD
National Provider Identifier
1265606727
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0066788 Issued in MD
Practice address
231 Najoles Rd Ste 300
Millersville, MD 21108-2659
Phone
(443) 351-3376
Fax
(443) 494-2303
NPI assigned
Apr 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0066788 MD
Dermatology Physician 207N00000X D0066788 MD Primary

Addresses

Primary practice location

231 Najoles Rd Ste 300
Millersville, MD 21108-2659

Mailing address

1306 Concourse Dr Ste 201
Linthicum, MD 21090-1033
Phone (443) 351-3376

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
I20080915000355 MD Practitioner - Dermatology 5991871071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Maryland School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anne Arundel Dermatology PAGroup PAC ID 6608761960, 126 clinicians

Practice addresses (Care Compare)

231 Najoles Rd
Suite 300
Millersville, MD 21108-2670
Phone (443) 351-3376

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision115
Removal of skin lesions3867
Removal or shaving of skin growth57
Skin biopsy283

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0066788MDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Arundel Dermatology LLC Specialist CurrentSince Sep 1, 2008 Accepting new patients
Anne Arundel Dermatology, P.a. Specialist CurrentSince Aug 11, 2024 Accepting new patients

Locations

180 Admiral Cochrane Dr
Ste 430
Annapolis, MD 21401
Phone (410) 263-5439

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

7671 Quarterfield Rd
Ste 200
Glen Burnie, MD 21061
Phone (410) 766-0111

1185 Imperial Dr
Ste 201
Hagerstown, MD 21740
Phone (443) 351-8376

1306 Concourse Dr
Ste 201
Linthicum Heights, MD 21090

231 Najoles Rd
Ste 300
Millersville, MD 21108
Phone (443) 837-7770

Interoperability endpoints

  • Direct secure messaging: drkang@aadermaffiliates.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1265606727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 CONCOURSE DR STE 201",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210901033",
            "telephone_number": "443-351-3376",
            "fax_number": "410-582-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 NAJOLES RD STE 300",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082659",
            "telephone_number": "443-351-3376",
            "fax_number": "443-494-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "SAMMY",
        "middle_name": "S.W.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0066788",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0066788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersville, MD

Sources for this page

Verify at the official NPI Registry.