Kevin Aebli, PA-C
Individual provider Active NPI Surgical Physician Assistant · Salisbury, MD
NPI 1720564263 · NPPES record last updated Dec 18, 2020
Key facts
- NPI
- 1720564263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- Practice address
- 100 E Carroll St
Salisbury, MD 21801-5422 - Phone
- (410) 546-6400
- NPI assigned
- Jul 18, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tidalhealth Specialty Care LLC
Luminis Health Medical Group, LLC
Practice addresses (Care Compare)
100 E Carroll St
Salisbury, MD 21801-5422
2001 Medical Pkwy
Annapolis, MD 21401-3280
Phone (443) 481-1000
2003 Medical Pkwy
Annapolis, MD 21401-3081
2003 Medical Pkwy Wayson Pavillion
Advanced Internal Medicine Residenc
Annapolis, MD 21401-3081
Phone (443) 951-4286
Hospital & facility affiliations
- Tidalhealth Peninsula Regional, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.45 of 100
- Quality
- 67.28
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 72.57
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.92 of 100
- Quality
- 74.47
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 75.27
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180905001422 | MD | Practitioner - Physician Assistant | 5890045249 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminis Health Medical Group, LLC | Current |
Accepting new patients | |
| Luminis Health Medical Group, LLC | Current |
Accepting new patients |
Locations
2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366
Interoperability endpoints
- kaebli174014@direct.aahs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Yes |
Addresses
Primary practice location
100 E Carroll St
Salisbury, MD 21801-5422
Mailing address
100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 546-6400
Other practice location 1
1675 Woodbrooke Dr
Salisbury, MD 21804-8502
Phone (410) 749-4154
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- Advanced Pain Management Specialists, LLC
- Advanced Pain Management Specialists, LLC
- Affiliated Addictions Services LLC
- Affiliated Sante Group
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- Priscilla Afram Debrah
- Ramesh K Agarwal
All providers in Salisbury, MD · Surgical Physician Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.