Individual provider Active NPI

Jill Allbritton, M.D.

  • Dermatopathology Physician
  • Glen Burnie, MD
National Provider Identifier
1609830736
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
D47273 Issued in MD
Practice address
810 Landmark Drive
Suite 217-219
Glen Burnie, MD 21061
Phone
(888) 276-2223
Fax
(972) 767-0225
NPI assigned
Apr 14, 2006
Last updated
Oct 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 520595110 MD
Dermatopathology Physician 207ND0900X D47273 MD Primary

Addresses

Primary practice location

810 Landmark Drive
Suite 217-219
Glen Burnie, MD 21061

Mailing address

7814 Blue Ribbon St
Fulton, MD 20759-2463
Phone (410) 206-6886

Other practice location 1

810 Glen Eagles Ct Ste 204
Towson, MD 21286-2236
Phone (443) 351-3376

Other identifiers 1

IdentifierTypeStateIssuer
736420200MedicaidMD

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
I20071025000379 MD Practitioner - DermatologyPractitioner - Pathology 4082701875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Johns Hopkins University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

419 W Redwood St
Suite 160
Baltimore, MD 21201-1782
Phone (410) 238-8025

5890 Waterloo Rd
Columbia, MD 21045-2617
Phone (667) 217-1171

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12
Skin biopsy18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D47273MDMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Dermatology Center CurrentSince Aug 1, 2018 Accepting new patients
Anne Arundel Dermatology, P.a. Dermatology PastSince Aug 11, 2024 Accepting new patients

Locations

10910 Little Patuxent Pkwy
#205
Columbia, MD 21044
Phone (410) 772-0707

10910 Little Patuxent Pkwy
Ste 205
Columbia, MD 21044
Phone (410) 772-0707

Interoperability endpoints

  • Direct secure messaging: jallbritton856535@direct.umm.edu

Organizations & group practices 3

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1609830736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7814 BLUE RIBBON ST",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592463",
            "telephone_number": "410-206-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 LANDMARK DRIVE",
            "address_2": "SUITE 217-219",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "888-276-2223",
            "fax_number": "972-767-0225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Glen Eagles Ct Ste 204",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212862236",
            "country_code": "US",
            "telephone_number": "443-351-3376",
            "fax_number": "410-296-5463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLBRITTON",
        "first_name": "JILL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "520595110",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "MD",
            "license": "D47273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "736420200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.