Individual provider Active NPI

James Kevin Poulton, MD

  • Procedural Dermatology Physician
  • Baltimore, MD
National Provider Identifier
1407845779
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
DOO46190 Issued in MD
Practice address
5233 King Ave
Ste 204
Baltimore, MD 21237-4003
Phone
(410) 574-3100
Fax
(410) 574-3710
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X DOO46190 MD Primary

Addresses

Primary practice location

5233 King Ave
Ste 204
Baltimore, MD 21237-4003

Mailing address

5233 King Ave
Ste 204
Baltimore, MD 21237-4003
Phone (410) 574-3100

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
I20110405000997 MD Practitioner - Dermatology 4385624253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Maryland School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Poulton and Smith LLCGroup PAC ID 6002894342, 2 clinicians

Practice addresses (Care Compare)

5233 King Ave
Suite 204
Baltimore, MD 21237-4003
Phone (410) 574-3100

Merit-based Incentive Payment System (MIPS)

Final score
82.51 of 100Reported as individual
Quality
76.47
Improvement activities
40
Cost
73.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision202
Removal of skin lesions2220
Removal of nail tissue1-10
Removal or shaving of skin growth56
Skin biopsy908

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Poulton & Smith LLC CurrentSince Jul 1, 2003 Accepting new patients

Locations

5233 King Ave
Ste 204
Rosedale, MD 21237
Phone (410) 574-3100

9101 Franklin Square Dr
Ste 308
Rosedale, MD 21237
Phone (301) 572-3100

Organizations & group practices 1

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1407845779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 KING AVE",
            "address_2": "STE 204",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374003",
            "telephone_number": "410-574-3100",
            "fax_number": "410-574-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5233 KING AVE",
            "address_2": "STE 204",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374003",
            "telephone_number": "410-574-3100",
            "fax_number": "410-574-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULTON",
        "first_name": "JAMES",
        "middle_name": "KEVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MD",
            "license": "DOO46190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.