Individual provider Active NPI

Lisa Catherine Kates, M.D.

  • Specialist
  • Crofton, MD
National Provider Identifier
1518935188
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0063518 Issued in MD
Practice address
2200 Defense Hwy
Suite 201
Crofton, MD 21114-2926
Phone
(410) 451-5500
Fax
(410) 451-5504
NPI assigned
Mar 9, 2006
Last updated
Dec 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0063518 MD Primary

Addresses

Primary practice location

2200 Defense Hwy
Suite 201
Crofton, MD 21114-2926

Mailing address

2200 Defense Hwy
Suite 201
Crofton, MD 21114-2926
Phone (410) 451-5500

Other identifiers 1

IdentifierTypeStateIssuer
161955OtherMDPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20051022000209 MD Practitioner - Dermatology 2567488141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lisa C. Kates, LLCGroup PAC ID 1951457993, 3 clinicians

Practice addresses (Care Compare)

2200 Defence Hwy
Crofton, MD 21114-2927
Phone (410) 451-5500

Merit-based Incentive Payment System (MIPS)

Final score
90.6 of 100Reported as individual
Quality
81.19
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision21
Removal of skin lesions1687
Removal of nail tissue1-10
Removal or shaving of skin growth29
Skin biopsy194

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0063518MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa C. Kates, LLC CurrentSince Sep 10, 2009 Accepting new patients

Locations

2200 Defense Hwy
Ste 201
Crofton, MD 21114
Phone (410) 451-5500

Organizations & group practices 1

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1518935188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 DEFENSE HWY",
            "address_2": "SUITE 201",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142926",
            "telephone_number": "410-451-5500",
            "fax_number": "410-451-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 DEFENSE HWY",
            "address_2": "SUITE 201",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142926",
            "telephone_number": "410-451-5500",
            "fax_number": "410-451-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATES",
        "first_name": "LISA",
        "middle_name": "CATHERINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0063518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "161955",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

Verify at the official NPI Registry.