Individual provider Active NPI

Mitchell Klapper, M.D.

  • Dermatology Physician
  • Pikesville, MD
National Provider Identifier
1629045166
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D34834 Issued in MD
Practice address
122 Slade Ave
Suite 202
Pikesville, MD 21208-4915
Phone
(410) 486-1177
Fax
(410) 486-4271
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D34834 MD
Dermatology Physician 207N00000X D34834 MD Primary

Addresses

Primary practice location

122 Slade Ave
Suite 202
Pikesville, MD 21208-4915

Mailing address

122 Slade Ave
Suite 202
Pikesville, MD 21208-4915
Phone (410) 486-1177

Other identifiers 3

IdentifierTypeStateIssuer
478308OtherMDAETNA
438231500MedicaidMD
212599OtherMDMAMSI

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
I20090430000208 MD Practitioner - Dermatology 4183772148 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D34834MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore, Inc. CurrentSince Aug 7, 2018 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Aug 7, 2018 Accepting new patients

Locations

2434 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 601-2246

2435 W Belvedere Ave
Ste 17
Baltimore, MD 21215
Phone (410) 601-5941

122 Slade Ave
Ste 202
Pikesville, MD 21208
Phone (410) 486-1177

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1629045166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SLADE AVE",
            "address_2": "SUITE 202",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084915",
            "telephone_number": "410-486-1177",
            "fax_number": "410-486-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 SLADE AVE",
            "address_2": "SUITE 202",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084915",
            "telephone_number": "410-486-1177",
            "fax_number": "410-486-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAPPER",
        "first_name": "MITCHELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D34834",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D34834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "478308",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "438231500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "212599",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

Verify at the official NPI Registry.