Active NPI
Kenneth Hollingsworth, MD
- Anesthesiology Physician
- Elkton, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- D0027256
- Practice address
- 106 Bow St
Elkton, MD 21921-5544 - Phone
- (410) 398-4000
- NPI assigned
- Jul 13, 2005
- Last updated
- Aug 16, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | C1-0006000 | DE | |
| Anesthesiology Physician | 207L00000X | D0027256 | MD | Primary |
Addresses
Primary practice location
106 Bow St
Elkton, MD 21921-5544
Mailing address
PO Box 10925
Wilmington, DE 19850-0925
Phone (888) 733-7271
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8100501-01 | Medicaid | MD | |
| 0001059501 | Medicaid | DE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12500 Willowbrook Rd
Western Maryland Health System
Cumberland, MD 21502-6393
Phone (240) 964-7000
5401 Old Court Rd
Randallstown, MD 21133-5103
Phone (410) 521-2200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0006000 | DE | MD | Anesthesiology Physician |
| D0027256 | MD | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia Maryland LLC | Anesthesiology | Current | Accepting new patients |
| Union Hospital of Cecil County | Current | Accepting new patients | |
| Union Hospital of Cecil County | Current | Accepting new patients | |
| Union Hospital of Cecil County Health Services, Inc | Current | Accepting new patients |
Locations
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
106 Bow St
Elkton, MD 21921
Phone (410) 298-2000
123 Singerly Ave
Elkton, MD 21921
Phone (410) 392-2686
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Prince Frederick, MD
- NPI 1093707879
-
- Internal Medicine Physician
- Elkton, MD
- NPI 1124067848
-
dba Union Behavioral Health
- Psychiatry Physician
- Elkton, MD
- NPI 1689978751
-
dba Urgent Care of Elkton
- Urgent Care Clinic/Center
- Elkton, MD
- NPI 1962880534
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elkton, MD
- NPI 1376523357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1356349294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10925",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198500925",
"telephone_number": "888-733-7271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 BOW ST",
"city": "ELKTON",
"state": "MD",
"postal_code": "219215544",
"telephone_number": "410-398-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLINGSWORTH",
"first_name": "KENNETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "DE",
"license": "C1-0006000",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "D0027256",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8100501-01",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0001059501",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.