NPIMap

Organization Active NPI

University of Maryland Dermatologists PA

  • Dermatology Physician
  • Columbia, MD
National Provider Identifier
1659304152
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
UNIVERSITY OF MARYLAND DERMATOLOGISTS PA
Practice address
5890 Waterloo Rd Ste 160
Columbia, MD 21045-2617
Phone
(410) 328-3167
Fax
(410) 328-1323
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Authorized official

Name
Karol Zimmerman
Title
Director
Phone
(410) 328-5767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

5890 Waterloo Rd Ste 160
Columbia, MD 21045-2617

Mailing address

PO Box 64445
Baltimore, MD 21264-4445
Phone (410) 328-5767

Other identifiers 1

IdentifierTypeStateIssuer
S045OtherMDBLUE SHIELD FEDERAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040323000770 MD Part B Supplier - Clinic/Group Practice 7810888484 Receives reassigned benefits from 21 practitioners
6 other NPIs on this enrollment
Practice locations: Baltimore, MD; Lutherville, MD; Ellicott City, MD; Chestertown, MD; Columbia, MD

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

419 W Redwood St
Ste 510
Baltimore, MD 21201

100 Brown St
Fl 3
Chestertown, MD 21620

5890 Waterloo Rd
Ste 160
Columbia, MD 21045
Phone (410) 328-3167

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1659304152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64445",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644445",
            "telephone_number": "410-328-5767",
            "fax_number": "410-328-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5890 WATERLOO RD STE 160",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452617",
            "telephone_number": "410-328-3167",
            "fax_number": "410-328-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MARYLAND DERMATOLOGISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "KAROL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-328-5767"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD FEDERAL",
            "identifier": "S045",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.