Active NPI
Shelly M. Hall, M.D.
- Dermatology Physician
- Chevy Chase, MD
National Provider Identifier
1497747760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- D0063933
- Practice address
- 5454 Wisconsin Ave
Suite 825
Chevy Chase, MD 20815-6901 - Phone
- (301) 652-0644
- Fax
- (301) 652-8722
- NPI assigned
- Aug 22, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | D0063933 | MD | Primary |
Addresses
Primary practice location
5454 Wisconsin Ave
Suite 825
Chevy Chase, MD 20815-6901
Mailing address
5454 Wisconsin Ave
Suite 825
Chevy Chase, MD 20815-6901
Phone (301) 652-0644
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070921000516 | DC | Practitioner - Dermatology | 3577657493 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Georgetown University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Elliot R Goldstein MD and Joel R Schulman MD PA
Practice addresses (Care Compare)
6000 Executive Blvd
Suite 300
Rockville, MD 20852-3803
Phone (301) 468-8999
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 14 |
| Removal of skin lesions | 1246 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 360 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elliot R Goldstein MD & Joel R Schulman MD PA | Dermatology | Current | Accepting new patients |
| Elliot R Goldstein MD & Joel R Schulman MD PA | Current | Accepting new patients | |
| Atlanta Dermatology & Surgery P.a. | Dermatology | Current | Accepting new patients |
| Wesley S Wilborn MD PC | Dermatology | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1462 Montreal Rd
Ste 411
Tucker, GA 30084
Phone (404) 296-8000
5454 Wisconsin Ave
Ste 825
Chevy Chase, MD 20815
Phone (301) 652-0644
6000 Executive Blvd
Ste 300
Rockville, MD 20852
Phone (301) 468-8999
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Rockville, MD
- NPI 1164488300
DC, Dermatology
-
- Durable Medical Equipment & Medical Supplies
- Rockville, MD
- NPI 1295224277
-
- Durable Medical Equipment & Medical Supplies
- Silver Spring, MD
- NPI 1477042448
-
- Durable Medical Equipment & Medical Supplies
- Germantown, MD
- NPI 1598254401
-
- Durable Medical Equipment & Medical Supplies
- Gaithersburg, MD
- NPI 1679342422
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365033600000",
"number": "1497747760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5454 WISCONSIN AVE",
"address_2": "SUITE 825",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208156901",
"telephone_number": "301-652-0644",
"fax_number": "301-652-8722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5454 WISCONSIN AVE",
"address_2": "SUITE 825",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208156901",
"telephone_number": "301-652-0644",
"fax_number": "301-652-8722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "SHELLY",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-22",
"last_updated": "2013-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MD",
"license": "D0063933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.