Individual provider Active NPI

William A Gormley, DPM

  • Foot Surgery Podiatrist
  • Elkridge, MD
National Provider Identifier
1649220880
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
01432 Issued in MD
Practice address
6755 Business Pkwy Ste 410
Elkridge, MD 21075-6749
Phone
(443) 517-3171
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 01432 MD
Foot Surgery Podiatrist 213ES0131X 01432 MD Primary

Addresses

Primary practice location

6755 Business Pkwy Ste 410
Elkridge, MD 21075-6749

Mailing address

1121 Annapolis Rd
PMB 164
Odenton, MD 21113-1633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060925000435 MD Practitioner - Podiatry 7810992955 Reassigns benefits to 1 organization
I20061103000388 DC Practitioner - Podiatry 7810992955 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laurel Foot and Ankle Center, LLCGroup PAC ID 7113980509, 4 clinicians

Practice addresses (Care Compare)

14440 Cherry Lane CT
Suite 104
Laurel, MD 20707-4946
Phone (301) 953-3668

6755 Business Pkwy
Suite 410
Elkridge, MD 21075-6749
Phone (443) 517-3171

900 Virginia Ave
Alexandria, VA 22302-3200
Phone (703) 684-9100

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue3918
Removal or shaving of skin growth819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01432MDMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Laurel Foot and Ankle Center, LLC Single Specialty CurrentSince Jun 1, 2008 Accepting new patients
William a Gormley DPM LLC Single Specialty CurrentSince Oct 1, 2009 Accepting new patients
William a Gormley, DPM, LLC CurrentSince Oct 1, 2009 Accepting new patients
Arundel Foot & Ankle Group, LLC Single Specialty Past Accepting new patients

Locations

1321 Generals Hwy
Ste 101
Crownsville, MD 21032
Phone (443) 517-3171

6755 Business Pkwy
Ste 410
Elkridge, MD 21075
Phone (410) 905-4763

6755 Business Pkwy
Ste 201
Elkridge, MD 21075
Phone (410) 361-0117

1071 State Route 3 N
Ste 203
Gambrills, MD 21054
Phone (443) 292-4609

4922 Lasalle Rd
Hyattsville, MD 20782
Phone (301) 445-3501

14440 Cherry Lane Ct
Ste 104
Laurel, MD 20707
Phone (301) 358-4201

1121 Annapolis Rd
Odenton, MD 21113
Phone (443) 302-9245

900 Virginia Ave
Alexandria, VA 22302
Phone (703) 684-9100

Organizations & group practices 4

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1649220880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 ANNAPOLIS RD",
            "address_2": "PMB 164",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6755 BUSINESS PKWY STE 410",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756749",
            "telephone_number": "443-517-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMLEY",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01432",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MD",
            "license": "01432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

Verify at the official NPI Registry.