Individual provider Active NPI

Todd Michael Colonna, MD

  • Dermatology Physician
  • Rockville, MD
National Provider Identifier
1306826102
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0055661 Issued in MD
Practice address
2401 Research Blvd
Rockville, MD 20850-3215
Phone
(301) 990-6565
Fax
(301) 990-8525
NPI assigned
Jan 18, 2006
Last updated
Sep 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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 D0055661 MD Primary

Addresses

Primary practice location

2401 Research Blvd
Rockville, MD 20850-3215

Mailing address

151 Southhall LN
Ste 300
Maitland, FL 32751-7172
Phone (407) 875-2080

Other identifiers 1

IdentifierTypeStateIssuer
P00020966OtherMEDICARE RAILROAD NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120208000479 DC Practitioner - Dermatology 7416114103 Reassigns benefits to 1 organization
I20160613000488 MD Practitioner - Dermatology 7416114103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Georgetown University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2401 Research Blvd
Suite 260
Rockville, MD 20850-3261
Phone (301) 990-6565

3445 Box Hill Corporate Ctr Dr
Suite E
Abingdon, MD 21009-1223
Phone (410) 569-5151

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
Quality
78.47
Promoting interoperability
83
Improvement activities
40
Cost
82.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision47
Removal of skin lesions1419
Skin biopsy181

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Maryland PC Dermatology CurrentSince Mar 1, 2017 Accepting new patients
Advanced Dermatology of Maryland PC Dermatology CurrentSince Mar 1, 2017 Accepting new patients
Advanced Dermatology of Maryland PC Dermatology Current Accepting new patients
Advanced Dermatology of Maryland PC Dermatology CurrentSince Mar 1, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

3445 Box Hill Corporate Center Dr
Ste E
Abingdon, MD 21009
Phone (410) 472-1006

101 Centennial St
Ste H
La Plata, MD 20646
Phone (301) 292-6010

18109 Prince Philip Dr
Ste 370
Olney, MD 20832
Phone (301) 774-0613

2401 Research Blvd
Ste 260
Rockville, MD 20850
Phone (301) 990-6565

7505 Osler Dr
Ste 308
Towson, MD 21204
Phone (410) 296-1464

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1306826102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SOUTHHALL LN",
            "address_2": "STE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517172",
            "telephone_number": "407-875-2080",
            "fax_number": "407-650-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 RESEARCH BLVD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503215",
            "telephone_number": "301-990-6565",
            "fax_number": "301-990-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLONNA",
        "first_name": "TODD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0055661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD NUMBER",
            "identifier": "P00020966",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.