NPIMap

Organization Active NPI

Verghese & Ling M.D.P.a.

  • Dermatology Physician
  • Leonardtown, MD
National Provider Identifier
1790713782
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
VERGHESE & LING M.D.P.A.
Practice address
26840 Point Lookout Rd
Leonardtown, MD 20650
Phone
(301) 396-3401
Fax
(301) 396-3404
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Authorized official

Name
Dr. George Kannarkat Verghese, MDNPI 1629193891
Title
Medical Director
Phone
(301) 396-3401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary
MOHS-Micrographic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0101X

Addresses

Primary practice location

26840 Point Lookout Rd
Leonardtown, MD 20650

Mailing address

173 Saint Patricks Dr Ste 201
Waldorf, MD 20603-5531
Phone (301) 396-3401

Other identifiers 2

IdentifierTypeStateIssuer
DC1697OtherMDMEDICARE RAILROAD
432981300MedicaidMD

Other names 1

  • Mid Atlantic Skin Surgery Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080303000742 MD Part B Supplier - Clinic/Group Practice 3476637877 Receives reassigned benefits from 7 practitioners
Practice locations: California, MD; Dunkirk, MD; Leonardtown, MD; Lexington Park, MD; Waldorf, MD

National Provider Directory

National Provider Directory

Locations

23415 Three Notch Rd
Ste 2052
California, MD 20619
Phone (240) 237-8268

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1790713782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 SAINT PATRICKS DR STE 201",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035531",
            "telephone_number": "301-396-3401",
            "fax_number": "301-396-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26840 POINT LOOKOUT RD",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "20650",
            "telephone_number": "301-396-3401",
            "fax_number": "301-396-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERGHESE & LING M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "VERGHESE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "KANNARKAT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-396-3401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DC1697",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432981300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Atlantic Skin Surgery Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leonardtown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.