Individual provider Active NPI

Heather Andrus Pacheco, MD

  • Dermatology Physician
  • Millersville, MD
National Provider Identifier
1386614139
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0061708 Issued in MD
Practice address
231 Najoles Rd Ste 460
Millersville, MD 21108-2659
Phone
(443) 883-8543
NPI assigned
Jan 25, 2006
Last updated
Feb 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D0061708 MD Primary
Dermatology Physician 207N00000X D61708 MD

Addresses

Primary practice location

231 Najoles Rd Ste 460
Millersville, MD 21108-2659

Mailing address

231 Najoles Rd Ste 460
Millersville, MD 21108-2659
Phone (443) 883-8563

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL entaacare Direct ENTAA Care, P.A.

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
I20141112002350 MD Practitioner - Dermatology 6507803780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Miami, LM Miller School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10710 Charter Dr
Suite 400
Columbia, MD 21044-3276
Phone (410) 997-7979

1300 York Rd
Suite 30D
Lutherville, MD 21093-6090
Phone (443) 275-1337

231 Najoles Rd
Suite 460
Millersville, MD 21108-2659
Phone (443) 883-8563

Merit-based Incentive Payment System (MIPS)

Final score
82.02 of 100Reported as group
Quality
65.13
Promoting interoperability
98
Improvement activities
40
Cost
76.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision42
Removal of skin lesions823
Removal or shaving of skin growth1-10
Skin biopsy161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0061708MDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Regional Physicians LLC CurrentSince Jan 1, 2021 Accepting new patients
Johns Hopkins Regional Physicians LLC Current Accepting new patients
Johns Hopkins Regional Physicians LLC CurrentSince Jan 1, 2021 Accepting new patients
Johns Hopkins Regional Physicians LLC Dermatology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10710 Charter Dr
Ste 400
Columbia, MD 21044
Phone (410) 997-7979

203 Hospital Dr
Ste 200
Glen Burnie, MD 21061
Phone (410) 553-8362

1300 York Rd
Ste 30D
Lutherville Timonium, MD 21093
Phone (443) 275-1337

231 Najoles Rd
Ste 460
Millersville, MD 21108
Phone (443) 883-8563

Interoperability endpoints

  • Direct secure messaging: hpacheco793569@direct.hopkinsmedicine.org

Organizations & group practices 5

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1386614139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 NAJOLES RD STE 460",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082659",
            "telephone_number": "443-883-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 NAJOLES RD STE 460",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082659",
            "telephone_number": "443-883-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "HEATHER",
        "middle_name": "ANDRUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2021-02-02",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0061708",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D61708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "entaacare",
            "affiliation": "Y",
            "endpointDescription": "Entaa care",
            "affiliationName": "ENTAA Care, P.A.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "203 Hospital Dr",
            "address_2": "Suite 200",
            "city": "Glen Burnie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210616904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Millersville, MD

Sources for this page

Verify at the official NPI Registry.