Individual provider Active NPI

Mary F. Farley, M.D.

  • MOHS-Micrographic Surgery Physician
  • Annapolis, MD
National Provider Identifier
1447218847
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
D0065712 Issued in MD
Practice address
703 Giddings Ave
Suite 700
Annapolis, MD 21401-1411
Phone
(410) 263-5439
Fax
(410) 263-7482
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2002-00683 NC
Dermatology Physician 207N00000X D0065712 MD
MOHS-Micrographic Surgery Physician 207ND0101X D0065712 MD Primary

Addresses

Primary practice location

703 Giddings Ave
Suite 700
Annapolis, MD 21401-1411

Mailing address

703 Giddings Ave
Suite 700
Annapolis, MD 21401-1411
Phone (410) 263-5439

Other identifiers 1

IdentifierTypeStateIssuer
89133M3MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070816000615 MD Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 8224120571 Reassigns benefits to 3 organizations
I20071121000295 DC Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 8224120571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Sanford School of Medicine of University of South Dakota, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Dermatology of White Plains LLCGroup PAC ID 5496037848, 7 clinicians
Anne Arundel Dermatology PAGroup PAC ID 6608761960, 126 clinicians

Practice addresses (Care Compare)

4225 Altamont PL
Suite 3
White Plains, MD 20695-3064
Phone (301) 374-9511

995 Prince Frederick Blvd
Suite 204
Prince Frederick, MD 20678-5101
Phone (443) 351-3376

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision44
Removal of skin lesions14
Removal of skin cancer521
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0065712MDMDDermatology Physician
2002-00683NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Poulton & Smith LLC Dermatology CurrentSince Sep 1, 2009 Accepting new patients
Integrated Dermatology of White Plains, LLC Dermatology CurrentSince Jan 1, 2017 Accepting new patients
Anne Arundel Dermatology LLC Dermatology CurrentSince Aug 1, 2007 Accepting new patients
Anne Arundel Dermatology, PA Dermatology CurrentSince Aug 11, 2024 Accepting new patients
Skin Surgery Center PA Mohs-Micrographic Surgery Past Accepting new patients
Charles B Toner MD PA Mohs-Micrographic Surgery Past Accepting new patients

Locations

180 Admiral Cochrane Dr
Ste 430
Annapolis, MD 21401
Phone (410) 263-5439

6410 Rockledge Dr
Ste 402
Bethesda, MD 20817
Phone (301) 530-4800

1185 Imperial Dr
Ste 201
Hagerstown, MD 21740
Phone (443) 351-8376

1306 Concourse Dr
Ste 201
Linthicum Heights, MD 21090

8028 Ritchie Hwy
Ste 106
Pasadena, MD 21122
Phone (410) 761-0118

995 Prince Frederick Blvd
Ste 204
Prince Frederick, MD 20678
Phone (410) 535-5855

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

4225 Altamont Pl
Ste 3
White Plains, MD 20695
Phone (301) 374-9511

Interoperability endpoints

  • Direct secure messaging: mfarley@aadermaffiliates.emadirect.md

Organizations & group practices 6

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1447218847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 GIDDINGS AVE",
            "address_2": "SUITE 700",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011411",
            "telephone_number": "410-263-5439",
            "fax_number": "410-263-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 GIDDINGS AVE",
            "address_2": "SUITE 700",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011411",
            "telephone_number": "410-263-5439",
            "fax_number": "410-263-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "MARY",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2002-00683",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0065712",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MD",
            "license": "D0065712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89133M3",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.