Individual provider Active NPI

Caroline Jill Buehler, M.S, PA-C

  • Physician Assistant
  • Annapolis, MD
National Provider Identifier
1679977078
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1120856
Practice address
2002 Medical Parkway,, Annapolis Dermatology Associates
Suite 630
Annapolis, MD 21401
Phone
(504) 920-7613
NPI assigned
Oct 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1120856 Primary

Addresses

Primary practice location

2002 Medical Parkway,, Annapolis Dermatology Associates
Suite 630
Annapolis, MD 21401

Mailing address

2521 Fait Ave
Baltimore, MD 21224-3720
Phone (504) 920-7613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181212002921 SC Practitioner - Physician Assistant 1759609795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clearline Dermatology LLCGroup PAC ID 9335559939, 6 clinicians

Practice addresses (Care Compare)

776 Daniel Ellis Dr
Suite 1a
Charleston, SC 29412-3095
Phone (843) 723-6529

Merit-based Incentive Payment System (MIPS)

Final score
94.23 of 100Reported as individual
Quality
88.46
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
3011SCMDPhysical Therapist

Organizations & group practices 1

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": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1679977078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 FAIT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243720",
            "telephone_number": "504-920-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 MEDICAL PARKWAY,, ANNAPOLIS DERMATOLOGY ASSOCIATES",
            "address_2": "SUITE 630",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "504-920-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUEHLER",
        "first_name": "CAROLINE",
        "middle_name": "JILL",
        "credential": "M.S, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "1120856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.