Individual provider Active NPI

Kelly Lorraine McGuigan, M.D.

  • Dermatology Physician
  • Annapolis, MD
National Provider Identifier
1316154644
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MT184233 Issued in PA
Practice address
101 Ridgely Ave
Suite 10
Annapolis, MD 21401-1409
Phone
(410) 280-0960
Fax
(410) 280-0963
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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 MT184233 PA Primary

Addresses

Primary practice location

101 Ridgely Ave
Suite 10
Annapolis, MD 21401-1409

Mailing address

5204 Baltimore Dr
Marlton, NJ 08053-8529
Phone (609) 315-4262

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081001000748 MD Practitioner - Dermatology 6901974179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anne Arundel Dermatology PAGroup PAC ID 6608761960, 126 clinicians

Practice addresses (Care Compare)

180 Admiral Cochrane Dr
Suite 430
Annapolis, MD 21401-8405
Phone (410) 263-5439

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision202
Removal of skin lesions3183
Removal or shaving of skin growth189
Skin biopsy805

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT184233PAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Arundel Dermatology LLC Dermatology CurrentSince Sep 1, 2008 Accepting new patients
Anne Arundel Dermatology, PA Dermatology PastSince Sep 23, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

180 Admiral Cochrane Dr
Ste 410
Annapolis, MD 21401
Phone (410) 263-5439

180 Admiral Cochrane Dr
Ste 430
Annapolis, MD 21401
Phone (410) 263-5439

101 Ridgely Ave
Ste 10
Annapolis, MD 21401
Phone (410) 263-5439

1185 Imperial Dr
Ste 201
Hagerstown, MD 21740
Phone (443) 351-8376

Organizations & group practices 3

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1316154644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 BALTIMORE DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080538529",
            "telephone_number": "609-315-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RIDGELY AVE",
            "address_2": "SUITE 10",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011409",
            "telephone_number": "410-280-0960",
            "fax_number": "410-280-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIGAN",
        "first_name": "KELLY",
        "middle_name": "LORRAINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MT184233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.