Active NPI
Micah Z Belzberg, MD
- Dermatology Physician
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- D0102968
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
77 Thomas Johnson Dr
Suite C
Frederick, MD 21702-4893
Phone (240) 780-3473
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 26 |
| Removal of skin lesions | 71 |
| Removal of skin cancer | 166 |
| Skin biopsy | 37 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forefront Dermatology SC | Dermatology | Current | Accepting new patients |
| Forefront Dermatology, S.C. | Dermatology | Current | 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
- 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.