Individual provider Active NPI

Deborah Ann Englert, M.D.

  • Dermatology Physician
  • Sparks Glencoe, MD
National Provider Identifier
1366478224
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D63690 Issued in MD
Practice address
10 Fila Way Ste 205
Sparks Glencoe, MD 21152-9454
Phone
(410) 472-1006
Fax
(410) 472-0900
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 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 D63690 MD Primary

Addresses

Primary practice location

10 Fila Way Ste 205
Sparks Glencoe, MD 21152-9454

Mailing address

10 Fila Way Ste 205
Sparks Glencoe, MD 21152-9454
Phone (410) 472-1006

Other identifiers 2

IdentifierTypeStateIssuer
S045-0028OtherDCBLUE SHIELD FEDERAL
64787001OtherMDCAREFIRST OF MD

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
I20051228000198 MD Practitioner - Dermatology 5294757712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Rochester School of Medicine and Dentistry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Maryland PCGroup PAC ID 9931489804, 43 clinicians

Practice addresses (Care Compare)

10153 York Rd
Suite 104
Cockeysville, MD 21030-3398
Phone (410) 472-0901

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

7505 Osler Dr
Suite 308
Towson, MD 21204-7738
Phone (410) 472-0901

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) excision1-10
Removal of skin lesions667
Removal or shaving of skin growth55
Skin biopsy187

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D63690MDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Maryland PC Dermatology CurrentSince Nov 1, 2021 Accepting new patients
Advanced Dermatology of Maryland PC Dermatology Current Accepting new patients
Advanced Dermatology of Maryland PC Dermatology CurrentSince Nov 1, 2021 Accepting new patients
Englert Dermatology, LLC Dermatology Past Accepting new patients

Locations

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

10153 York Rd
Ste 104
Hunt Valley, MD 21030
Phone (410) 472-0901

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

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1366478224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FILA WAY STE 205",
            "city": "SPARKS GLENCOE",
            "state": "MD",
            "postal_code": "211529454",
            "telephone_number": "410-472-1006",
            "fax_number": "410-472-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FILA WAY STE 205",
            "city": "SPARKS GLENCOE",
            "state": "MD",
            "postal_code": "211529454",
            "telephone_number": "410-472-1006",
            "fax_number": "410-472-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLERT",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D63690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD FEDERAL",
            "identifier": "S045-0028",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF MD",
            "identifier": "64787001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks Glencoe, MD

Sources for this page

Verify at the official NPI Registry.