Individual provider Active NPI

Carmen Rocio Hiller, MD

  • Family Medicine Physician
  • Crownsville, MD
National Provider Identifier
1891868113
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0071757 Issued in MD
Practice address
1321 Generals Hwy Ste 303
Crownsville, MD 21032-2060
Phone
(410) 858-1112
Fax
(410) 770-4307
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0071757 MD Primary

Addresses

Primary practice location

1321 Generals Hwy Ste 303
Crownsville, MD 21032-2060

Mailing address

1321 Generals Hwy Ste 303
Crownsville, MD 21032-2060
Phone (410) 858-1112

Other identifiers 7

IdentifierTypeStateIssuer
335001100MedicaidMD
8446236OtherMDAETNA HMO
P19946OtherMDCAREFIRST BCBS POS
0119OtherMDCAREFIRST BCBS BLUECHOICE
252879OtherMDEHP/PRIORITY PARTNERS
4294799OtherMDAETNA PPO
97605201OtherMDCAREFIRST BCBS OF MARYLAND

Other names 1

  • Dr. Carmen Hiller Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2024 through Jul 1, 2028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Medicine and Aesthetics in Annapolis Family Medicine CurrentSince Aug 25, 2024 Accepting new patients
St Francis Physician Services Inc Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1321 Generals Hwy
Ste 303
Crownsville, MD 21032
Phone (410) 858-1112

137 Mitchells Chance Rd
Ste 180
Edgewater, MD 21037
Phone (410) 224-8220

Organizations & group practices 3

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1891868113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 GENERALS HWY STE 303",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210322060",
            "telephone_number": "410-858-1112",
            "fax_number": "410-770-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 GENERALS HWY STE 303",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210322060",
            "telephone_number": "410-858-1112",
            "fax_number": "410-770-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLER",
        "first_name": "CARMEN",
        "middle_name": "ROCIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0071757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335001100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "8446236",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS POS",
            "identifier": "P19946",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS BLUECHOICE",
            "identifier": "0119",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EHP/PRIORITY PARTNERS",
            "identifier": "252879",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4294799",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS OF MARYLAND",
            "identifier": "97605201",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "HILLER",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Crownsville, MD

Sources for this page

Verify at the official NPI Registry.