Individual provider Active NPI

Benjamin Nathaniel Lockshin, MD

  • Dermatology Physician
  • Silver Spring, MD
National Provider Identifier
1275523110
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0063751 Issued in MD
Practice address
10313 Georgia Ave
Suite 309
Silver Spring, MD 20902-5006
Phone
(301) 681-7000
NPI assigned
Oct 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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 D0063751 MD Primary
Dermatology Physician 207N00000X 35-086442 OH

Addresses

Primary practice location

10313 Georgia Ave
Suite 309
Silver Spring, MD 20902-5006

Mailing address

10313 Gerogia Ave
Suite 309
Silver Spring, MD 20902-5006
Phone (301) 681-7000

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
I20051230000072 DC Practitioner - Dermatology 2860427754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Georgetown University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derm Associates LLCGroup PAC ID 4688653306, 44 clinicians

Practice addresses (Care Compare)

10313 Georgia Ave
Suite 309
Silver Spring, MD 20902-5006
Phone (301) 681-7000

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision118
Removal of skin lesions1313
Skin biopsy478

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-086442OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Derm Associates LLC Dermatology CurrentSince Feb 6, 2006 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Dermatology & Cosmetic Surgery Associates, P.a. Past Accepting new patients
Elizabeth Mitchell Dugan MD LLC PastSince Feb 6, 2006 Accepting new patients

Locations

71 Old Mill Bottom Rd N
Ste 300
Annapolis, MD 21409
Phone (301) 681-7000

15245 Shady Grove Rd
Ste 480
Rockville, MD 20850
Phone (301) 264-5958

10313 Georgia Ave
Ste 309
Silver Spring, MD 20902
Phone (301) 681-4368

Interoperability endpoints

  • Direct secure messaging: blockshin@usdp7.emadirect.md

Organizations & group practices 4

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": "1130025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1275523110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10313 GEROGIA AVE",
            "address_2": "SUITE 309",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025006",
            "telephone_number": "301-681-7000",
            "fax_number": "301-681-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10313 GEORGIA AVE",
            "address_2": "SUITE 309",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025006",
            "telephone_number": "301-681-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKSHIN",
        "first_name": "BENJAMIN",
        "middle_name": "NATHANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-23",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0063751",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35-086442",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.