Active NPI
Michael K Kerr, MD
- Emergency Medicine Physician
- Olney, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- S0050410
- Practice address
- 18101 Prince Philip Dr
Montgomery General Hospital
Olney, MD 20832-1514 - Phone
- (301) 774-8900
- Fax
- (301) 570-8574
- NPI assigned
- Oct 13, 2005
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | S0050410 | MD | Primary |
| Emergency Medicine Physician | 207P00000X | 0101054572 | VA |
Addresses
Primary practice location
18101 Prince Philip Dr
Montgomery General Hospital
Olney, MD 20832-1514
Mailing address
1300 Piccard Dr
Suite 202
Rockville, MD 20850-4303
Phone (301) 921-7900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 053290800 | Medicaid | MD | |
| 0032 | Other | CAREFIRST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S0050410 | MD | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Associates, P.a.,P.C. | Current | Accepting new patients | |
| Travis County Emergency Physicians PA | Emergency Medicine | Current | Accepting new patients |
| Usacs Observation Medicine Services of Texas PLLC | Emergency Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Mid-Atlantic Critical Care Services,L.L.C. | Past | Accepting new patients |
Locations
20010 Century Blvd
Ste 200
Germantown, MD 20874
1500 Red River St
Austin, TX 78701
Phone (512) 324-0150
1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058
11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125
7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305
2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050
11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020
3011 W Loop 1604 N
San Antonio, TX 78251
Phone (726) 266-7081
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
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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- Emergency Medicine Physician
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- NPI 1962440933
-
- Emergency Medicine Physician
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- NPI 1134606353
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Critical Care Medicine (Internal Medicine) Physician
- Takoma Park, MD
- NPI 1164455853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1669460515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 PICCARD DR",
"address_2": "SUITE 202",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208504303",
"telephone_number": "301-921-7900",
"fax_number": "301-921-7915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18101 PRINCE PHILIP DR",
"address_2": "MONTGOMERY GENERAL HOSPITAL",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321514",
"telephone_number": "301-774-8900",
"fax_number": "301-570-8574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "MICHAEL",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "S0050410",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101054572",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "053290800",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "0032",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olney, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.