Individual provider Active NPI

George K Verghese

  • Dermatology Physician
  • Leonardtown, MD
National Provider Identifier
1629193891
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0065320 Issued in MD
Practice address
26840 Point Lookout Rd
Leonardtown, MD 20650
Phone
(301) 475-8091
Fax
(301) 475-6712
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D0065320 MD Primary

Addresses

Primary practice location

26840 Point Lookout Rd
Leonardtown, MD 20650

Mailing address

PO Box 1409
Leonardtown, MD 20650-1409
Phone (301) 475-8091

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
I20080410000591 MD Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 4789761057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Howard University College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Verghese and Ling M.D.P.a.Group PAC ID 3476637877, 5 clinicians

Practice addresses (Care Compare)

173 Saint Patricks Dr
Suite 201
Waldorf, MD 20603-5531
Phone (301) 396-3401

Merit-based Incentive Payment System (MIPS)

Final score
91.34 of 100Reported as individual
Quality
82.68
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions305
Removal of skin cancer222
Skin biopsy87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0065320MDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Verghese & Ling M.D.P.a. Dermatology CurrentSince Jul 1, 2007 Accepting new patients
Verghese & Ling, MD PA Dermatology PastSince Nov 18, 2025 Accepting new patients

Locations

3140 W Ward Rd
Ste 208
Dunkirk, MD 20754
Phone (301) 396-3401

22738 Maple Rd
Ste 214
Lexington Park, MD 20653
Phone (240) 237-8268

173 Saint Patricks Dr
Ste 201
Waldorf, MD 20603
Phone (301) 396-3401

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245369600000",
    "number": "1629193891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1409",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206501409",
            "telephone_number": "301-475-8091",
            "fax_number": "301-745-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26840 POINT LOOKOUT RD",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "20650",
            "telephone_number": "301-475-8091",
            "fax_number": "301-475-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGHESE",
        "first_name": "GEORGE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2009-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0065320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonardtown, MD

Sources for this page

Verify at the official NPI Registry.