Active NPI
Joseph M Porres, MD
- Dermatology Physician
- Rockville, MD
National Provider Identifier
1902835689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- D44137
- Practice address
- 50 W Edmonston Dr
308
Rockville, MD 20852 - Phone
- (301) 762-7364
- Fax
- (301) 762-7382
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | D44137 | MD | Primary |
| Dermatopathology Physician | 207ND0900X | D44137 | MD | |
| Procedural Dermatology Physician | 207NS0135X | D44137 | MD |
Addresses
Primary practice location
50 W Edmonston Dr
308
Rockville, MD 20852
Mailing address
50 W Edmonston Dr
308
Rockville, MD 20852
Phone (301) 762-7364
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 423500200 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 1966
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
50 W Edmonston Dr
Suite 308
Rockville, MD 20852-1276
Phone (301) 762-7364
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 11 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 92 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D44137 | MD | MD | Dermatopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph Porres MD PC | Dermatology | Current | Accepting new patients |
Locations
50 W Edmonston Dr
Ste 308
Rockville, MD 20852
Phone (301) 762-7364
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": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300233600000",
"number": "1902835689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 W EDMONSTON DR",
"address_2": "308",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20852",
"telephone_number": "301-762-7364",
"fax_number": "301-762-7382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 W EDMONSTON DR",
"address_2": "308",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20852",
"telephone_number": "301-762-7364",
"fax_number": "301-762-7382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORRES",
"first_name": "JOSEPH",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2011-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MD",
"license": "D44137",
"primary": true
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "MD",
"license": "D44137",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "MD",
"license": "D44137",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "423500200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.