Alvanus Howland Hartley, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

D0038429 Issued in MD

Practice address

995 Prince Frederick Blvd
Suite 204
Prince Frederick, MD 20678-3198

Phone

(410) 535-5855

Fax

(410) 535-6574

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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 Vermont College of Medicine, 1977

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)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ahartley@aadermaffiliates.emadirect.md

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.

• Anne Arundel Dermatology LLC

  • Dermatology Physician
  • Annapolis, MD
  • NPI 1063481703
  Medicare reassignment Care Compare group NPD
• Anne Arundel Dermatology, P.a.

  • Specialist
  • Leonardtown, MD
  • NPI 1639909310
  NPD
• Anne Arundel Dermatology, PA

  • Dermatology Physician
  • Prince Frederick, MD
  • NPI 1568292282
  NPD

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1336213503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 PRINCE FREDERICK BLVD",
            "address_2": "SUITE 204",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783198",
            "telephone_number": "410-535-5855",
            "fax_number": "410-535-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 PRINCE FREDERICK BLVD",
            "address_2": "SUITE 204",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783198",
            "telephone_number": "410-535-5855",
            "fax_number": "410-535-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "ALVANUS",
        "middle_name": "HOWLAND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0038429",
            "primary": true
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "MD",
            "license": "D0038429",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Robert Hardenstine
• Kara A Harrer, PHARMD
• Carolyn Harrison, LCPC
• Melanie L Harrison, CRNA
• Breanna Harrod
• Alexandra Elizabeth Hartwell
• Jill Rippons Hartwell, OT
• Rachel Hautmann
• Faris Hawit, M.D.
• Nastassia Morgan Hawkins, CRNA

• Dermatology Physician in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.