Individual provider Active NPI

Stephen Robert Damm, MD

  • Dermatology Physician
  • Laurel, MD
National Provider Identifier
1295796191
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0020680 Issued in MD
Practice address
9811 Mallard Drive
Ste 202
Laurel, MD 20708-3199
Phone
(301) 776-2818
Fax
(301) 369-3409
NPI assigned
Mar 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D0020680 MD Primary

Addresses

Primary practice location

9811 Mallard Drive
Ste 202
Laurel, MD 20708-3199

Mailing address

9811 Mallard Drive
Ste 202
Laurel, MD 20708-3199
Phone (301) 776-2818

Other identifiers 2

IdentifierTypeStateIssuer
0222OtherBCBS FEDERAL
26345ROtherBCBS MD

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
I20091020000388 DC Practitioner - Dermatology 1658418926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Loyola University of Chicago, Stritch School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9811 Mallard Dr
Laurel, MD 20708-3199
Phone (301) 776-2818

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 lesions2115
Removal or shaving of skin growth69
Skin biopsy20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0020680MDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen R. Damm, M.D., P.a. Dermatology CurrentSince Jul 29, 2009 Accepting new patients

Locations

9811 Mallard Dr
Ste 220
Laurel, MD 20708
Phone (301) 776-2818

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.

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295796191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 MALLARD DRIVE",
            "address_2": "STE 202",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083199",
            "telephone_number": "301-776-2818",
            "fax_number": "301-369-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 MALLARD DRIVE",
            "address_2": "STE 202",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083199",
            "telephone_number": "301-776-2818",
            "fax_number": "301-369-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMM",
        "first_name": "STEPHEN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0020680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FEDERAL",
            "identifier": "0222",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MD",
            "identifier": "26345R",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.