Active NPI
Heather Andrus Pacheco, MD
- Dermatology Physician
- Millersville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- D0061708
- Practice address
- 231 Najoles Rd Ste 460
Millersville, MD 21108-2659 - Phone
- (443) 883-8543
- NPI assigned
- Jan 25, 2006
- Last updated
- Feb 2, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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 100
- Quality
- 65.13
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 42 |
| Removal of skin lesions | 823 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 161 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0061708 | MD | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins Regional Physicians LLC | Current | Accepting new patients | |
| Johns Hopkins Regional Physicians LLC | Current | Accepting new patients | |
| Johns Hopkins Regional Physicians LLC | Current | 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
- 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.
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Dermatology
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.