Individual provider Active NPI

Elnara Muradova, MD

  • Dermatology Physician
  • Germantown, MD
National Provider Identifier
1467081208
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0099730 Issued in MD
Practice address
19735 Germantown Rd Ste 210
Germantown, MD 20874-1217
Phone
(301) 444-0153
NPI assigned
Apr 3, 2020
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D0099730 MD Primary

Addresses

Primary practice location

19735 Germantown Rd Ste 210
Germantown, MD 20874-1217

Mailing address

21 South Rd
Farmington, CT 06032-2482
Phone (606) 794-6008

Other practice location 1

6500 Rock Spring Dr Ste 105
Bethesda, MD 20817-1154
Phone (301) 530-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20240719000282 DC Practitioner - Dermatology 1052739802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Florida College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology of Maryland, PAGroup PAC ID 8426047770, 12 clinicians

Practice addresses (Care Compare)

6500 Rock Spring Dr
Suite 105
Bethesda, MD 20817-1154
Phone (301) 530-8300

Merit-based Incentive Payment System (MIPS)

Final score
83.11 of 100Reported as group
Quality
76.61
Improvement activities
40
Cost
74.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions229
Removal or shaving of skin growth1-10
Skin biopsy88

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology of Maryland PA Dermatology CurrentSince Jun 1, 2024 Accepting new patients
Rockledge Surgery Center, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6500 Rock Spring Dr
Ste 105
Bethesda, MD 20817
Phone (301) 530-8300

19735 Germantown Rd
Ste 210
Germantown, MD 20874
Phone (301) 444-0153

3340 Robinwood Rd
Gastonia, NC 28054
Phone (704) 755-1900

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

Interoperability endpoints

  • Direct secure messaging: elnara.muradova@epiphanyderm.emadirect.md

Organizations & group practices 3

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": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1467081208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SOUTH RD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322482",
            "telephone_number": "606-794-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19735 GERMANTOWN RD STE 210",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741217",
            "telephone_number": "301-444-0153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6500 Rock Spring Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171154",
            "country_code": "US",
            "telephone_number": "301-530-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURADOVA",
        "first_name": "ELNARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0099730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.