Active NPI
Kenneth Lauron Abbott, M.D.
- Hematology & Oncology Physician
- Prince Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- D56024
- Practice address
- 110 Hospital Rd Ste 105
Prince Frederick, MD 20678-4043 - Phone
- (410) 414-9116
- Fax
- (410) 414-9118
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | D56024 | MD | Primary |
Addresses
Primary practice location
110 Hospital Rd Ste 105
Prince Frederick, MD 20678-4043
Mailing address
110 Hospital Rd Ste 105
Prince Frederick, MD 20678-4043
Phone (410) 414-9116
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 483400300 | Medicaid | MD | |
| 830007961 | Other | MEDICARE RAILROAD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kenneth.abbottmd.p1@direct.calverthealth.nextgenshare.com | Health Information Exchange (HIE) | CalvertHealth Medical Group, LLC |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101216000161 | MD | Practitioner - Medical Oncology | 6103014238 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- Wayne State University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Calverthealth Medical Group, LLC
Practice addresses (Care Compare)
110 Hospital Rd
Suite 105
Prince Frederick, MD 20678-4043
Phone (410) 414-9116
Hospital & facility affiliations
- Calverthealth Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.48 of 100
- Quality
- 74.54
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 81.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D56024 | MD | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calverthealth Medical Group, LLC | Hematology & Oncology | Current | Accepting new patients |
| Calverthealth Medical Group, LLC | Current | Accepting new patients | |
| Calverthealth Medical Group, LLC | Hematology & Oncology | Current | Accepting new patients |
Locations
8924 Chesapeake Ave
North Beach, MD 20714
Phone (410) 257-7279
110 Hospital Rd
Ste 112
Prince Frederick, MD 20678
Phone (410) 414-9116
110 Hospital Rd
Ste 105
Prnc Frederck, MD 20678
Phone 4103568186367
110 Hospital Rd
Ste 110
Prnc Frederck, MD 20678
Phone (410) 535-4488
100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791
Interoperability endpoints
- kenneth.abbottmd.p1@direct.calverthealth.nextgenshare.com
- kenneth.abbott@directcalverthospital.org
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.
-
- Family Medicine Physician
- Prince Frederick, MD
- NPI 1386871390
Hematology & Oncology, MD
-
- Prosthetic/Orthotic Supplier
- Prince Frederick, MD
- NPI 1598581084
-
- Hematology & Oncology Physician
- Prince Frederick, MD
- NPI 1275370009
Hematology & Oncology
-
- Family Medicine Physician
- Solomons, MD
- NPI 1396534418
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Prince Frederick, MD
- NPI 1457389298
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1306976949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 HOSPITAL RD STE 105",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206784043",
"telephone_number": "410-414-9116",
"fax_number": "410-414-9118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 HOSPITAL RD STE 105",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206784043",
"telephone_number": "410-414-9116",
"fax_number": "410-414-9118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBOTT",
"first_name": "KENNETH",
"middle_name": "LAURON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MD",
"license": "D56024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "483400300",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "830007961",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kenneth.abbottmd.p1@direct.calverthealth.nextgenshare.com",
"affiliation": "Y",
"endpointDescription": "Direct Messaging address to send CCDA's",
"affiliationName": "CalvertHealth Medical Group, LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "110 Hospital Rd",
"address_2": "Suite 110",
"city": "Prince Frederick",
"state": "MD",
"country_code": "US",
"postal_code": "206784019",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Prince Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.