Individual provider Active NPI

David William McDermott, M.D.

  • Urology Physician
  • Annapolis, MD
National Provider Identifier
1730184177
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
D31991 Issued in MD
Practice address
600 Ridgely Ave
Ste 130
Annapolis, MD 21401-1045
Phone
(410) 266-8049
Fax
(410) 266-8054
NPI assigned
Jun 14, 2005
Last updated
Jun 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D31991 MD
Urology Physician 208800000X D31991 MD Primary

Addresses

Primary practice location

600 Ridgely Ave
Ste 130
Annapolis, MD 21401-1045

Mailing address

600 Ridgely Ave Ste 222
Annapolis, MD 21401-1073
Phone (410) 266-8049

Other identifiers 1

IdentifierTypeStateIssuer
557201100MedicaidMD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111219000374 MD Practitioner - Urology 0840383410

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Texas Medical School at San Antonio, 1977
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

600 Ridgely Ave
Annapolis, MD 21401-1045

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D31991MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Arundel Urology, PA Specialist CurrentSince Mar 14, 2007 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

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 222
Annapolis, MD 21401
Phone (410) 266-9966

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1730184177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 RIDGELY AVE STE 222",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011073",
            "telephone_number": "410-266-8049",
            "fax_number": "410-266-8054"
        },
        {
            "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": "214011045",
            "telephone_number": "410-266-8049",
            "fax_number": "410-266-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D31991",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MD",
            "license": "D31991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "557201100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.