Active NPI
Grace F. Kao, MD
- Dermatopathology Physician
- Baltimore, MD
National Provider Identifier
1275501959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- D0017574
- Practice address
- 405 W Redwood St.
6TH Floor
Baltimore, MD 21201-7005 - Phone
- (410) 328-5766
- Fax
- (410) 328-0098
- NPI assigned
- Mar 9, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | MD3852 | DC | |
| Dermatopathology Physician | 207ND0900X | D0017574 | MD | Primary |
Addresses
Primary practice location
405 W Redwood St.
6TH Floor
Baltimore, MD 21201-7005
Mailing address
PO Box 64445
Baltimore, MD 21264-4445
Phone (410) 328-5766
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070008599 | Other | MD | RAILROAD MEDICARE |
| 449701500 | Medicaid | MD | |
| 028850900 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD3852 | DC | MD | Dermatopathology Physician |
| D0017574 | MD | MD | Dermatopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Faculty Associates, Inc | Dermatopathology | Past | Accepting new patients |
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.
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
Dermatopathology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245110400000",
"number": "1275501959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64445",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644445",
"telephone_number": "410-328-5766",
"fax_number": "410-328-0098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W REDWOOD ST.",
"address_2": "6TH FLOOR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212017005",
"telephone_number": "410-328-5766",
"fax_number": "410-328-0098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAO",
"first_name": "GRACE",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-09",
"last_updated": "2009-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "DC",
"license": "MD3852",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "MD",
"license": "D0017574",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "070008599",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "449701500",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "028850900",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.