Lesley Anne Sutherland, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

D0085092 Issued in MD

Practice address

8601 Veterans Hwy Ste 201
Millersville, MD 21108-1566

Phone

(410) 934-5400

Fax

(410) 934-0141

NPI assigned

Apr 16, 2014

Last updated

Mar 26, 2023By the provider in NPPES

Sex

Female

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

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

Specialty

Dermatology

Education

University of Maryland School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dockside Dermatology LLCGroup PAC ID 9931576733, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.75 of 100Reported as group

Promoting interoperability

95

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dockside Dermatology LLC

  • Dermatology Physician
  • Millersville, MD
  • NPI 1194479972
  Medicare reassignment Care Compare group NPD Authorized official
• Derm Associates LLC

  • Dermatology Physician
  • Silver Spring, MD
  • NPI 1649271354
  Medicare reassignment NPD
• Mohs and Skin Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Lutherville, MD
  • NPI 1124492996
  NPD (past)

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679788800000",
    "number": "1275953309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 VETERANS HWY",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081547",
            "telephone_number": "410-934-5400",
            "fax_number": "410-410-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 VETERANS HWY STE 201",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081566",
            "telephone_number": "410-934-5400",
            "fax_number": "410-934-0141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4940 Eastern Avenue",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21224",
            "country_code": "US",
            "telephone_number": "410-550-0535",
            "fax_number": "410-550-0491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "71 Old Mill Bottom Rd N Ste 300",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "21409",
            "country_code": "US",
            "telephone_number": "410-268-3887",
            "fax_number": "410-268-8171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "LESLEY",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2023-03-26",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0085092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mari Springer
• Kaitlyn St. Peter, LCPC
• Heather L Steele, PA-C
• Julia Ann Stunkard, L.AC
• Adam N. Summers, M.D.
• Ashley Swann
• Alexis Szymczyk
• Taylor S Tabinsky, LCPC
• Angela Carlynn Tarjick, D.C.
• Britney Taylor

• Dermatology Physician in Millersville, MD
• Providers in Millersville, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2023; 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.