Active NPI
Mary Elizabeth Reed Shenk, MD
- Dermatopathology Physician
- Glen Burnie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- D0102958
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Missouri, Columbia School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 91 |
| Removal of skin cancer | 1-10 |
| Skin biopsy | 69 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0102958 | MD | MD | Dermatology Physician |
| R11534 | IA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anne Arundel Dermatology LLC | Dermatology | Current | Accepting new patients |
| University of Maryland Dermatologists PA | Dermatology | Current | Accepting new patients |
| University of Maryland Dermatologists PA | Dermatology | Current | 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
- 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.
-
- Dermatology Physician
- Columbia, MD
- NPI 1659304152
-
- Multi-Specialty Clinic/Center
- Baltimore, MD
- NPI 1770684805
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1477530624
-
- General Practice Physician
- Towson, MD
- NPI 1770836785
-
- Dermatology Physician
- Annapolis, MD
- NPI 1063481703
-
- Dermatology Physician
- Baltimore, MD
- NPI 1033927470
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Internal Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cambridge, MD
- NPI 1194784751
-
- General Acute Care Hospital
- Easton, MD
- NPI 1669431219
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.