Individual provider Active NPI

Mary Elizabeth Reed Shenk, MD

  • Dermatopathology Physician
  • Glen Burnie, MD
National Provider Identifier
1770140535
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
D0102958 Issued in MD
Practice address
810 Landmark Dr Ste 217-219
Glen Burnie, MD 21061-4987
Phone
(410) 766-1324
Fax
(410) 766-4177
NPI assigned
May 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D0102958 MD
Dermatopathology Physician 207ND0900X D0102958 MD Primary
Dermatology Physician 207N00000X 2020013973 MO

Addresses

Primary practice location

810 Landmark Dr Ste 217-219
Glen Burnie, MD 21061-4987

Mailing address

PO Box 64445
Baltimore, MD 21264-4445

Other practice location 1

800 Hospital Dr
Columbia, MO 65201-5275
Phone (573) 814-6000

Other practice location 2

7671 Quarterfield Rd Ste 200A
Glen Burnie, MD 21061-4407
Phone (443) 351-3376

Other practice location 3

180 Admiral Cochrane Dr Ste 410
Annapolis, MD 21401-8405
Phone (667) 383-7546

Other practice location 4

180 Admiral Cochrane Dr Ste 420
Annapolis, MD 21401-8405
Phone (667) 383-7546

Other practice location 5

6021 University Blvd Ste 390
Ellicott City, MD 21043-6087
Phone (667) 214-1171

Other names 1

  • Mary Elizabeth Reed Former name

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
I20251208000031 MD Practitioner - Dermatology 6901130343 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
University of Missouri, Columbia School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Maryland Dermatologists PAGroup PAC ID 7810888484, 17 clinicians

Practice addresses (Care Compare)

6021 University Blvd
Suite 370 390
Ellicott City, MD 21043-6077
Phone (667) 214-1171

Hospital & facility affiliations

  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions91
Removal of skin cancer1-10
Skin biopsy69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0102958MDMDDermatology Physician
R11534IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Arundel Dermatology LLC Dermatology CurrentSince Aug 1, 2026 Accepting new patients
University of Maryland Dermatologists PA Dermatology CurrentSince Sep 25, 2025 Accepting new patients
University of Maryland Dermatologists PA Dermatology CurrentSince Sep 25, 2025 Accepting new patients
Iowa Physicians Clinic Medical Foundation Internal Medicine Past Accepting new patients

Locations

180 Admiral Cochrane Dr
Ste 420
Annapolis, MD 21401
Phone (410) 263-5439

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

419 W Redwood St
Ste 510
Baltimore, MD 21201

419 W Redwood St
Ste 160
Baltimore, MD 21201
Phone (410) 328-3167

6021 University Blvd
Ste 370390
Ellicott City, MD 21043
Phone (667) 214-1171

810 Landmark Dr
Ste 217219
Glen Burnie, MD 21061
Phone (410) 766-0111

Interoperability endpoints

  • Direct secure messaging: mshenk1282990@direct.umm.edu

Organizations & group practices 7

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": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1770140535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64445",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 LANDMARK DR STE 217-219",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614987",
            "telephone_number": "410-766-1324",
            "fax_number": "410-766-4177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652015275",
            "country_code": "US",
            "telephone_number": "573-814-6000",
            "fax_number": "573-884-0943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7671 Quarterfield Rd Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210614407",
            "country_code": "US",
            "telephone_number": "443-351-3376",
            "fax_number": "410-582-9155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Admiral Cochrane Dr Ste 410",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214018405",
            "country_code": "US",
            "telephone_number": "667-383-7546",
            "fax_number": "410-263-5439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Admiral Cochrane Dr Ste 420",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214018405",
            "country_code": "US",
            "telephone_number": "667-383-7546",
            "fax_number": "410-263-5439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6021 University Blvd Ste 390",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210436087",
            "country_code": "US",
            "telephone_number": "667-214-1171",
            "fax_number": "410-328-1323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHENK",
        "first_name": "MARY",
        "middle_name": "ELIZABETH REED",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0102958",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "MD",
            "license": "D0102958",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2020013973",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "REED",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.