Individual provider Active NPI

Laura Anzaldi

  • Dermatology Physician
  • Lutherville, MD
National Provider Identifier
1376932566
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D94041 Issued in MD
Practice address
1407 York Rd Ste 100a
Lutherville, MD 21093-6077
Phone
(410) 955-5000
NPI assigned
Jan 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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 D94041 MD Primary

Addresses

Primary practice location

1407 York Rd Ste 100a
Lutherville, MD 21093-6077

Mailing address

1407 York Rd Ste 100a
Lutherville, MD 21093-6077

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
I20220716000076 MD Practitioner - Dermatology 2466874912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Johns Hopkins University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Care Specialty Physicians LLCGroup PAC ID 6608978622, 17 clinicians

Practice addresses (Care Compare)

1447 York Rd
Suite 301
Lutherville, MD 21093-6022
Phone (410) 252-9090

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions2083
Removal or shaving of skin growth11
Skin biopsy572

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D94041MDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Care Specialty Physicians, LLC Dermatology CurrentSince Aug 1, 2022 Accepting new patients
Mohs and Skin Surgery Center, LLC Past Accepting new patients

Locations

1407 York Rd
Ste 100A
Lutherville Timonium, MD 21093
Phone (410) 252-9090

1447 York Rd
Ste 301
Lutherville Timonium, MD 21093
Phone (410) 252-9090

Interoperability endpoints

  • Direct secure messaging: lanzaldi@directaddress.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1376932566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 YORK RD STE 100A",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 YORK RD STE 100A",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936077",
            "telephone_number": "410-955-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANZALDI",
        "first_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D94041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.