Active NPI
William Ralph Kanter, M.D.
- Plastic Surgery Physician
- Ellicott City, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- D 36913
- Practice address
- 5092 Dorsey Hall Dr
Suite 102
Ellicott City, MD 21042-7711 - Phone
- (410) 715-9205
- NPI assigned
- Sep 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | D 36913 | MD | Primary |
Addresses
Primary practice location
5092 Dorsey Hall Dr
Suite 102
Ellicott City, MD 21042-7711
Mailing address
5092 Dorsey Hall Dr
Suite 102
Ellicott City, MD 21042-7711
Phone (410) 715-9205
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1404676 | Other | MD | CIGNA |
| 49376 | Other | MD | UNITED HEALTH CARE |
| C532WR | Other | MD | MARYLAND BC/BS |
| P00067639 | Other | MD | MEDICARE RR |
| 4140451 | Other | MD | AETNA |
| 426083 01 | Other | MD | BLUELINE RENDERING |
| 5348 0002 | Other | MD | FEDERAL BC |
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
- Plastic and Reconstructive Surgery
- Education
- Albany Medical College of Union University, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5092 Dorsey Hall Dr
Suite 102
Ellicott City, MD 21042-7895
Phone (410) 715-9205
Hospital & facility affiliations
- Saint Agnes Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D 36913 | MD | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plastic Surgery, P.a. | Plastic Surgery | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
5092 Dorsey Hall Dr
#S102
Ellicott City, MD 21042
Phone (410) 715-9205
5092 Dorsey Hall Dr
Ste 102
Ellicott City, MD 21042
Phone (410) 715-9205
Organizations & group practices 2
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.
-
- Plastic Surgery Physician
- Ellicott City, MD
- NPI 1548453590
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1245274901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289088000000",
"number": "1679567424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5092 DORSEY HALL DR",
"address_2": "SUITE 102",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210427711",
"telephone_number": "410-715-9205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5092 DORSEY HALL DR",
"address_2": "SUITE 102",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210427711",
"telephone_number": "410-715-9205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANTER",
"first_name": "WILLIAM",
"middle_name": "RALPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2010-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MD",
"license": "D 36913",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1404676",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "49376",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND BC/BS",
"identifier": "C532WR",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00067639",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4140451",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUELINE RENDERING",
"identifier": "426083 01",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BC",
"identifier": "5348 0002",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2010; 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.