Individual provider Active NPI

David McDermott, M.D.

  • Radiation Oncology Physician
  • Salisbury, MD
National Provider Identifier
1508286311
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
D0090951 Issued in MD
Practice address
100 E Carroll St
Salisbury, MD 21801-5422
Phone
(410) 543-7000
NPI assigned
Apr 18, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Radiation Oncology Physician 2085R0001X D0090951 MD Primary

Addresses

Primary practice location

100 E Carroll St
Salisbury, MD 21801-5422

Mailing address

P.O. Box 9234
1 Medical Center Drive,
Morgantown, WV 26506
Phone (304) 598-4706

Other practice location 1

1 Medical Center Dr
Morgantown, WV 26506-1200
Phone (304) 598-4706

Other practice location 2

11105 Cathage Rd
Berlin, MD 21811-2131
Phone (410) 912-4966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, DE3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210408001735 MD Practitioner - Radiation Oncology 8325261803 Reassigns benefits to 1 organization
I20210408002077 DC Practitioner - Radiation Oncology 8325261803 Reassigns benefits to 1 organization
I20210505002640 DE Practitioner - Radiation Oncology 8325261803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Radiation Medicine, PCGroup PAC ID 6204826332, 12 clinicians
Associates in Radiation Medicine of Delaware LLCGroup PAC ID 3375973837, 3 clinicians

Practice addresses (Care Compare)

100 E Carroll St
Salisbury, MD 21801-5422

701 Middleford Rd
Seaford, DE 19973-3600
Phone (302) 628-6344

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0090951MDMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Radiation Medicine, PC Radiation Oncology CurrentSince Jun 1, 2021 Accepting new patients
Associates in Radiation Medicine of Delaware LLC Radiation Oncology CurrentSince Jul 1, 2021 Accepting new patients

Locations

701 Middleford Rd
Seaford, DE 19973
Phone (302) 628-6344

11105 Cathage Rd
Berlin, MD 21811
Phone (410) 641-9962

4901 Tesla Dr
Ste Ab
Bowie, MD 20715

4831 Tesla Dr
Ste Ac
Bowie, MD 20715
Phone (301) 805-6860

8116 Good Luck Rd
Ste LL5
Lanham, MD 20706
Phone (240) 542-3060

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

2121 Medical Park Dr
Ste 4
Silver Spring, MD 20902
Phone (301) 681-4422

11340 Pembrooke Sq
Ste 201
Waldorf, MD 20603
Phone (301) 705-5802

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1508286311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 9234",
            "address_2": "1 MEDICAL CENTER DRIVE,",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26506",
            "telephone_number": "304-598-4706",
            "fax_number": "304-598-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-543-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265061200",
            "country_code": "US",
            "telephone_number": "304-598-4706",
            "fax_number": "304-598-4706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11105 Cathage Rd",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "MD",
            "postal_code": "218112131",
            "country_code": "US",
            "telephone_number": "410-912-4966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-18",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MD",
            "license": "D0090951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.