Active NPI
David William McDermott Jr., M.D.
- Urology Physician
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- D70881
- 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
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 |
|---|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- University of MD Baltimore Washington Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 11 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227842 | MA | MD | Surgery Physician |
| D70881 | MD | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anne Arundel Urology, PA | Urology | Current | Accepting new patients |
| Anne Arundel Urology, PA | Urology | Current | Accepting new patients |
| Aau Greenbelt ASC LLC | Surgery | Past | Accepting new patients |
| Anne Arundel Urology, PA | Urology | Past | 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
- 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.
-
- General Acute Care Hospital
- Glen Burnie, MD
- NPI 1124016696
Hospital
-
- Clinical Medical Laboratory
- Annapolis, MD
- NPI 1356885032
Hospital
-
- General Acute Care Hospital
- Annapolis, MD
- NPI 1477517225
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.