Individual provider Active NPI

Micah Z Belzberg, MD

  • Dermatology Physician
  • Frederick, MD
National Provider Identifier
1659908903
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0102968 Issued in MD
Practice address
77 Thomas Johnson Dr Ste C
Frederick, MD 21702-4893
Phone
(240) 780-3473
Fax
(240) 880-3687
NPI assigned
Mar 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X D0102968 MD
Dermatology Physician 207N00000X D0102968 MD Primary

Addresses

Primary practice location

77 Thomas Johnson Dr Ste C
Frederick, MD 21702-4893

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

11055 Little Patuxent Pkwy Ste L6
Columbia, MD 21044-2897
Phone (443) 933-9442

Other practice location 2

112 Thomas Johnson Dr Ste 130
Frederick, MD 21702-4377
Phone (301) 668-3004

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Micah.Belzberg@forefrontdermatology.emadirect.md
Direct Messaging Address Micah.Belzberg@forefrontdermatology.emadirect.md
Direct Messaging Address Micah.Belzberg@forefrontdermatology.emadirect.md

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
I20250624000997 MD Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 8325448509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

77 Thomas Johnson Dr
Suite C
Frederick, MD 21702-4893
Phone (240) 780-3473

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision26
Removal of skin lesions71
Removal of skin cancer166
Skin biopsy37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology SC Dermatology CurrentSince May 18, 2025 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince May 18, 2025 Accepting new patients
Peninsula Dermatology Associates,P.a. Dermatology Current Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

11055 Little Patuxent Pkwy
Ste L6
Columbia, MD 21044
Phone (410) 730-9775

10910 Little Patuxent Pkwy
Ste 205
Columbia, MD 21044
Phone (410) 772-0707

112 Thomas Johnson Dr
Ste 130
Frederick, MD 21702
Phone (301) 668-3004

77 Thomas Johnson Dr
Ste C
Frederick, MD 21702
Phone (301) 668-3004

106 Milford St
Ste 302
Salisbury, MD 21804
Phone (410) 546-4431

106 Milford St
Ste 301
Salisbury, MD 21804
Phone (410) 546-4431

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: micah.belzberg@forefrontdermatology.emadirect.md

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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1659908903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 THOMAS JOHNSON DR STE C",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024893",
            "telephone_number": "240-780-3473",
            "fax_number": "240-880-3687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11055 LITTLE PATUXENT PKWY STE L6",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210442897",
            "country_code": "US",
            "telephone_number": "443-933-9442",
            "fax_number": "443-356-4331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Thomas Johnson Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024377",
            "country_code": "US",
            "telephone_number": "301-668-3004",
            "fax_number": "301-668-3005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELZBERG",
        "first_name": "MICAH",
        "middle_name": "Z",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MD",
            "license": "D0102968",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0102968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Micah.Belzberg@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "112 Thomas Johnson Dr Ste 130",
            "city": "Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217024377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Micah.Belzberg@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "11055 LITTLE PATUXENT PKWY STE L6",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210442897",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Micah.Belzberg@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "77 Thomas Johnson Dr Ste C",
            "city": "Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217024893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.