Individual provider Active NPI

Desha D Bedford, MD

  • Internal Medicine Physician
  • Westminster, MD
National Provider Identifier
1871571554
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0062362 Issued in MD
Practice address
200 Memorial Ave
Carroll Hospital Center
Westminster, MD 21157-5726
Phone
(410) 871-6700
Fax
(410) 871-7177
NPI assigned
Jan 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0062362 MD
Internal Medicine Physician 207R00000X D0062362 MD Primary

Addresses

Primary practice location

200 Memorial Ave
Carroll Hospital Center
Westminster, MD 21157-5726

Mailing address

10227 Dottys Way
Columbia, MD 21044-3886
Phone (301) 921-7900

Other identifiers 1

IdentifierTypeStateIssuer
406575100MedicaidMD

Other names 1

  • Mrs. Desha Kelly Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20050204000619 MD Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Emergency Medicine 7012968233 Reassigns benefits to 5 organizations
I20050825000095 DC Practitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Emergency Medicine 7012968233 Reassigns benefits to 3 organizations
I20211129001231 VA Practitioner - Internal Medicine 7012968233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Howard University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Integrated Acute Care Services of Maryland LLCGroup PAC ID 4486900172, 178 clinicians
Mdics at Anne Arundel LLCGroup PAC ID 1456515519, 32 clinicians

Practice addresses (Care Compare)

11890 Healing Way
Silver Spring, MD 20904-7917
Phone (240) 637-5070

2001 Medical Pkwy
Annapolis, MD 21401-3773
Phone (443) 481-1000

904 Commerce Rd
Annapolis, MD 21401-2948
Phone (410) 849-6140

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0062362MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Maryland PC Internal Medicine CurrentSince May 1, 2022 Accepting new patients
WHC Physician Group LLC CurrentSince Sep 1, 2020 Accepting new patients
Emergency Medicine Associates P.a., P.C. Pediatrics CurrentSince Sep 1, 2005 Accepting new patients
Hospitalist Medicine Physicians of Maryland-Frederick PC Internal Medicine CurrentSince Feb 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Internal Medicine CurrentSince May 1, 2022 Accepting new patients
WHC Emerg Phys CurrentSince Sep 1, 2020 Accepting new patients
Signify Health, LLC CurrentSince Aug 5, 2021 Accepting new patients
Mdics at Anne Arundel LLC CurrentSince Feb 24, 2020 Accepting new patients
WHC Physician Group LLC Current Accepting new patients
Mdics at Meritus Medical Center, LLC CurrentSince Oct 1, 2014 Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Sep 1, 2005 Accepting new patients
Usacs Integrated Acute Care Services of Maryland, LLC Internal Medicine CurrentSince Mar 15, 2022 Accepting new patients
Lister Inpatient Services Internal Medicine Past Accepting new patients
Hospital Physician Services, LLLP Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

904 Commerce Rd
Annapolis, MD 21401
Phone (410) 849-6140

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

20010 Century Blvd
Ste 200
Germantown, MD 20874

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

7300 Van Dusen Rd
Laurel, MD 20707
Phone (301) 725-4300

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1871571554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10227 DOTTYS WAY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443886",
            "telephone_number": "301-921-7900",
            "fax_number": "301-921-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEMORIAL AVE",
            "address_2": "CARROLL HOSPITAL CENTER",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575726",
            "telephone_number": "410-871-6700",
            "fax_number": "410-871-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDFORD",
        "first_name": "DESHA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0062362",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0062362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406575100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESHA",
            "last_name": "KELLY",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.