Individual provider Active NPI

Emily Catherine Skoda-Mount, MD

  • Pediatrics Physician
  • Laurel, MD
National Provider Identifier
1629334867
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0080101 Issued in MD
Practice address
9811 Mallard Dr
Suite # 109
Laurel, MD 20708-3143
Phone
(301) 776-8000
Fax
(301) 776-6753
NPI assigned
Apr 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0080101 MD Primary

Addresses

Primary practice location

9811 Mallard Dr
Suite # 109
Laurel, MD 20708-3143

Mailing address

9811 Mallard Dr
Suite # 109
Laurel, MD 20708-3143
Phone (301) 776-8000

Other names 1

  • Emily Catherine Skoda Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20151216002340 DC Practitioner - Pediatric Medicine 4587965595 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0080101MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Pediatrics CurrentSince Oct 24, 2015 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 24, 2015 Accepting new patients
Holy Cross Health, Inc Past Accepting new patients
Privia Medical Group, LLC Pediatrics PastSince Oct 5, 2025 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

17341 Melford Blvd
Ste Lm
Bowie, MD 20715
Phone (301) 776-8000

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

9811 Mallard Dr
Ste 109
Laurel, MD 20708
Phone (301) 776-8000

12520 Prosperity Dr
Ste 150
Silver Spring, MD 20904
Phone (301) 622-6020

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: emily.skoda-mount.1@8042.direct.athenahealth.com

Organizations & group practices 5

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": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1629334867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 MALLARD DR",
            "address_2": "SUITE # 109",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083143",
            "telephone_number": "301-776-8000",
            "fax_number": "301-776-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 MALLARD DR",
            "address_2": "SUITE # 109",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083143",
            "telephone_number": "301-776-8000",
            "fax_number": "301-776-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKODA-MOUNT",
        "first_name": "EMILY",
        "middle_name": "CATHERINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0080101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "SKODA",
            "middle_name": "CATHERINE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.