Laurie Macdonald Crain, M.D.
Individual provider Active NPI Family Medicine Physician · Kensington, MD
NPI 1477591386 · NPPES record last updated Nov 22, 2021
Key facts
- NPI
- 1477591386
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- D0063325 (MD)
- Practice address
- 10810 Connecticut Ave
Kensington, MD 20895-2138 - Phone
- (301) 929-7222
- Fax
- (301) 929-7203
- NPI assigned
- Jun 3, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Georgetown University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Practice addresses (Care Compare)
10810 Connecticut Ave
Kensington, MD 20895-2138
Phone (301) 929-7100
1221 Mercantile LN
Largo, MD 20774-5374
Phone (301) 618-5700
1701 Twin Springs Rd
Halethorpe, MD 21227-3553
Phone (410) 737-5000
655 Watkins Mill Rd
Gaithersburg, MD 20879-3301
Phone (240) 632-4000
8008 Westpark Dr
MC Lean, VA 22102-3109
Phone (703) 287-6400
Hospital & facility affiliations
- Montgomery Hospice & Prince Georges Hospice
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050801000916 | DC | Practitioner - Family Practice | 3375571201 | Reassigns benefits to 1 organization |
| I20220802000232 | MD | Practitioner - Family Practice | 3375571201 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD035762 | DC | MD | Family Medicine Physician |
| D0063325 | MD | MD | Family Medicine Physician |
| 0101237985 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Family Medicine | Current |
Accepting new patients |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
7070 Samuel Morse Dr
Columbia, MD 21046
Phone (410) 309-4600
7190 Crestwood Blvd
Frederick, MD 21703
Phone (240) 529-1700
1701 Twin Springs Rd
Halethorpe, MD 21227
Phone (410) 737-5000
10810 Connecticut Ave
Kensington, MD 20895
Phone (301) 929-7100
2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853
2101 E Jefferson St
Rockville, MD 20852
Phone (301) 816-6660
2101 E Jefferson St
#4E
Rockville, MD 20852
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101237985 | VA | |
| Family Medicine Physician | 207Q00000X | D0063325 | MD | Yes |
| Family Medicine Physician | 207Q00000X | MD035762 | DC |
Addresses
Primary practice location
10810 Connecticut Ave
Kensington, MD 20895-2138
Mailing address
2101 E Jefferson St
Kaiser Permanente Medicare Enrollment
Rockville, MD 20852-4908
Phone (301) 816-2424
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Other providers in Kensington, MD
- Raven Cord
- Cornerstone Montgomery, Inc.
- Steve Cortez
- Fabiola Lucia Costello
- Ashley C. Coulon
- Crescent Urgent Health Care Service
- Cynthia Renee Cubbage
- Culture ABA LLC
- Jennifer Curtiss
- Marjanne Czifra
All providers in Kensington, MD · Family Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.