Jagadeesh S V Kumar, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

D67588 Issued in MD

Practice address

216 E Pulaski Hwy
125
Elkton, MD 21921-6497

Phone

(443) 485-6614

Fax

(410) 286-1700

NPI assigned

Jul 10, 2006

Last updated

Sep 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD, DE2 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

Specialty

Dermatology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maryland Skin Care Centers LLCGroup PAC ID 5496924136, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Union Hospital of Cecil County Hospital, Elkton, MD, CCN 210032
• Christiana Hospital Hospital, Newark, DE, CCN 080001

Merit-based Incentive Payment System (MIPS)

Final score

92.03 of 100Reported as individual

Quality

94.26

Promoting interoperability

100

Improvement activities

40

Cost

79.17

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marylandskincarecenter.jagadeeshkumar@148579.advancedmd-direct.com

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.

• Maryland Skin Care Centers LLC

  • Dermatology Physician
  • Elkton, MD
  • NPI 1457642068

  DE

  Medicare reassignment Care Compare group NPD Authorized official
• Maryland Skin Care Centers LLC

  • Physician Assistant
  • Elkton, MD
  • NPI 1144183690
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Union Hospital of Cecil County

  • General Acute Care Hospital
  • Elkton, MD
  • NPI 1376523357
  Care Compare affiliation
• Christiana Care Health Services, Inc.

  dba Christiana Care

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1134194038
  Care Compare affiliation

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1467486977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 E PULASKI HWY",
            "address_2": "125",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216497",
            "telephone_number": "443-485-6614",
            "fax_number": "410-286-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E PULASKI HWY",
            "address_2": "125",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216497",
            "telephone_number": "443-485-6614",
            "fax_number": "410-286-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 Linden Hill Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198082906",
            "country_code": "US",
            "telephone_number": "302-510-8191",
            "fax_number": "302-510-8174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "JAGADEESH",
        "middle_name": "S V",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D67588",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D67588",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041887163",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Walter Koterwas, D.D.S.
• Sophia Kotliar, M.D.
• Felicia Kriner
• Jessica Lynn Krummel, N.P.
• Bhavna K Kumar, MD
• Steven Craig Kunkel Jr., PT, OCS, COMT
• Eugene Tenkang Kwachuh, PHARM.D.
• Labic Pharmacy Services LLC
• Gladys Lacey, LPN
• Thomas Eugene Lajudice, CNP

• Dermatology Physician in Elkton, MD
• Providers in Elkton, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.