Individual provider Active NPI

David William McDermott Jr., M.D.

  • Urology Physician
  • Annapolis, MD
National Provider Identifier
1720166119
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
D70881 Issued in MD
Practice address
600 Ridgely Ave
Ste 130
Annapolis, MD 21401-1001
Phone
(410) 266-8049
Fax
(410) 266-8054
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 227842 MA
Urology Physician 208800000X D70881 MD Primary

Addresses

Primary practice location

600 Ridgely Ave
Ste 130
Annapolis, MD 21401-1001

Mailing address

1084 Carriage Hill Pkwy
Annapolis, MD 21401-6516
Phone (210) 823-5894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110816000279 MD Practitioner - Urology 2860661493 Reassigns benefits to 1 organization
I20160122001590 DC Practitioner - Urology 2860661493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Texas Medical School at San Antonio, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anne Arundel Urology, PAGroup PAC ID 9032178918, 33 clinicians

Practice addresses (Care Compare)

4201 Northview Dr
Suite 201
Bowie, MD 20716-2656
Phone (240) 544-4070

600 Ridgely Ave
Annapolis, MD 21401-1045
Phone (410) 266-8049

Hospital & facility affiliations

  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023
  • University of MD Baltimore Washington Medical Center Hospital, Glen Burnie, MD, CCN 210043

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection11
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
227842MAMDSurgery Physician
D70881MDMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Arundel Urology, PA Urology CurrentSince Jan 1, 2016 Accepting new patients
Anne Arundel Urology, PA Urology CurrentSince Jul 15, 2011 Accepting new patients
Aau Greenbelt ASC LLC Surgery Past Accepting new patients
Anne Arundel Urology, PA Urology PastSince Jan 21, 2024 Accepting new patients

Locations

600 Ridgely Ave
Ste 222
Annapolis, MD 21401
Phone (410) 266-9966

600 Ridgely Ave
Ste 222223
Annapolis, MD 21401
Phone (410) 266-0895

600 Ridgely Ave
Ste 130
Annapolis, MD 21401
Phone 4102668049157

600 Ridgely Ave
Ste 210
Annapolis, MD 21401
Phone (410) 266-8555

600 Ridgely Ave
Ste 223
Annapolis, MD 21401
Phone (410) 266-1188

4201 Northview Dr
Ste 201
Bowie, MD 20716
Phone (240) 544-4070

305 Hospital Dr
Ste 303
Glen Burnie, MD 21061
Phone (410) 282-3300

7855 Walker Dr
Ste 102
Greenbelt, MD 20770

1106 Annapolis Rd
Ste 250
Odenton, MD 21113

Interoperability endpoints

  • Direct secure messaging: dmcdermott44026@direct.umm.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1720166119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 CARRIAGE HILL PKWY",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214016516",
            "telephone_number": "210-823-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 RIDGELY AVE",
            "address_2": "STE 130",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011001",
            "telephone_number": "410-266-8049",
            "fax_number": "410-266-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "227842",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MD",
            "license": "D70881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.