Nicholas Girardi, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

D0085055 Issued in MD

Practice address

6021 University Blvd Ste 390
Ellicott City, MD 21043-6087

Phone

(410) 203-0607

NPI assigned

May 1, 2014

Last updated

Mar 13, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Dermatology Group LLCGroup PAC ID 2466728282, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Integrated Dermatology Group, LLC

  • Dermatology Physician
  • Columbia, MD
  • NPI 1902327950
  Medicare reassignment Care Compare group NPD
• Integrated Dermatology Group, LLC

  • Dermatology Physician
  • Brighton, MA
  • NPI 1265941082
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1447660311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 UNIVERSITY BLVD STE 390",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436087",
            "telephone_number": "410-203-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 UNIVERSITY BLVD STE 390",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436087",
            "telephone_number": "410-203-0607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 Orleans St",
            "address_2": "Department of Dermatology Ste 211",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870014",
            "country_code": "US",
            "telephone_number": "410-955-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIRARDI",
        "first_name": "NICHOLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-01",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0085055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi T Gido
• Gilbart Dental Care of Ellicott City LLC (Gilbart Dental Care of Ellicott City)
• Stephanie Rae Gillis, MS, NP-C, CRNP
• Gina M. Rassa, LCPC, Inc. (The Counseling Renaissance)
• Deborah Irene Gioia-Hasick, PHD, LCSW-C
• Ivy Giserman-Kiss, PHD
• Peter Gitei, B.PHARM
• Mary Glantz
• Glass House Recovery
• Dennis A Gleicher, M.D.

• Dermatology Physician in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.

Verify at the official NPI Registry.