Individual provider Active NPI

Kelly M. Seidler, O.D

  • Optometrist
  • Frederick, MD
National Provider Identifier
1881180644
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2768 Issued in MD
Practice address
161 Thomas Johnson Dr Ste 275
Frederick, MD 21702-4314
Phone
(301) 320-9268
Fax
(301) 620-9228
NPI assigned
Jul 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003409 PA
Optometrist 152W00000X TA2768 MD Primary

Addresses

Primary practice location

161 Thomas Johnson Dr Ste 275
Frederick, MD 21702-4314

Mailing address

9910 Franklin Square Dr Ste 2110
Baltimore, MD 21236-4902
Phone (410) 933-6423

Other practice location 1

7630 Germantown Ave Ste 4
Philadelphia, PA 19118-3529
Phone (215) 276-6000

Other practice location 2

3300 Henry Ave Ste 104
Philadelphia, PA 19129-1121
Phone (215) 276-6000

Other practice location 3

1200 W Godfrey Ave
Philadelphia, PA 19141-3323
Phone (215) 276-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201201000344 DC Practitioner - Optometry 9931456217 Reassigns benefits to 1 organization
I20201201000505 MD Practitioner - Optometry 9931456217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians

Practice addresses (Care Compare)

161 Thomas Johnson Dr
Suite 275
Frederick, MD 21702-4314
Phone (301) 620-9268

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Optometrist Current Accepting new patients
Johns Hopkins University CurrentSince Dec 14, 2020 Accepting new patients
Johns Hopkins University Optometrist CurrentSince Dec 14, 2020 Accepting new patients
Johns Hopkins University Optometrist CurrentSince Dec 14, 2020 Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University Optometrist CurrentSince Dec 14, 2020 Accepting new patients
Pennsylvania College of Optometry Optometrist PastSince Jul 2, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578

161 Thomas Johnson Dr
Ste 275
Frederick, MD 21702
Phone (301) 320-9268

10751 Falls Rd
Timonium, MD 21093
Phone (410) 583-2727

Interoperability endpoints

  • Direct secure messaging: kseidler793537@direct.hopkinsmedicine.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1881180644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 FRANKLIN SQUARE DR STE 2110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364902",
            "telephone_number": "410-933-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 THOMAS JOHNSON DR STE 275",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024314",
            "telephone_number": "301-320-9268",
            "fax_number": "301-620-9228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7630 Germantown Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191183529",
            "country_code": "US",
            "telephone_number": "215-276-6000",
            "fax_number": "215-276-1329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Henry Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191291121",
            "country_code": "US",
            "telephone_number": "215-276-6000",
            "fax_number": "215-276-1329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 W Godfrey Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413323",
            "country_code": "US",
            "telephone_number": "215-276-6000",
            "fax_number": "215-276-1329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEIDLER",
        "first_name": "KELLY",
        "middle_name": "M.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003409",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.