Lane Neidig, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

D0087259 Issued in MD

Practice address

2568A Riva Rd Ste 102
Annapolis, MD 21401-7457

Phone

(410) 216-0993

Fax

(410) 237-6106

NPI assigned

May 14, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Specialty

Dermatology

Education

Drexel University College of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Modern Dermatology of Maryland, LLCGroup PAC ID 5496120933, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lneidig@directaddress.net
• Direct secure messaging: lneidig@mdmd.emadirect.md

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.

• Modern Dermatology of Maryland, LLC

  • Dermatology Physician
  • Annapolis, MD
  • NPI 1619605078
  Medicare reassignment Care Compare group NPD Authorized official
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  • Health Maintenance Organization
  • Annapolis, MD
  • NPI 1952461816

  DC

  Medicare reassignment NPD
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rockville, MD
  • NPI 1962108753
  NPD

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1851779573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2568A RIVA RD STE 102",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017457",
            "telephone_number": "410-216-0993",
            "fax_number": "410-237-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2568A RIVA RD STE 102",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017457",
            "telephone_number": "410-216-0993",
            "fax_number": "410-237-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIDIG",
        "first_name": "LANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-14",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0087259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2568A Riva Rd Ste 102",
            "city": "Annapolis",
            "state": "MD",
            "country_code": "US",
            "postal_code": "214017457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hanna Neal
• Zyaire Neal
• Brian Andrew Neave, PT, MPT
• Marilee Jennifer Neff, LMSW
• Sara Negash, MD
• Neil W. Vanik, DDS, PA
• Jaimie Nelson, MS, OTR/L
• Katrice N Nelson, RYT
• Diane R. Nemett, PT
• Kathryn R. Nemirovsky, L.AC.

• Dermatology Physician in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.

Verify at the official NPI Registry.