Individual provider Active NPI

Carl H Ling, M.D.

  • Dermatology Physician
  • California, MD
National Provider Identifier
1902830656
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0044371 Issued in MD
Practice address
23415 Three Notch Rd
Suite 2052
California, MD 20619-4017
Phone
(240) 237-8268
Fax
(240) 237-8446
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D0044371 MD Primary

Addresses

Primary practice location

23415 Three Notch Rd
Suite 2052
California, MD 20619-4017

Mailing address

PO Box 2458
Leonardtown, MD 20650-2458
Phone (301) 863-0004

Other identifiers 1

IdentifierTypeStateIssuer
305201000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120113000655 MD Practitioner - Dermatology 1456528454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as individual
Quality
96.61
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Verghese & Ling M.D.P.a. Dermatology CurrentSince Apr 1, 1999 Accepting new patients

Locations

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

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

Organizations & group practices 1

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1902830656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2458",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502458",
            "telephone_number": "301-863-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23415 THREE NOTCH RD",
            "address_2": "SUITE 2052",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206194017",
            "telephone_number": "240-237-8268",
            "fax_number": "240-237-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LING",
        "first_name": "CARL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0044371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305201000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in California, MD

Sources for this page

Verify at the official NPI Registry.