Individual provider Active NPI

Elisabeth G Richard, M.D.

  • Dermatology Physician
  • Lutherville, MD
National Provider Identifier
1932154093
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D62684 Issued in MD
Practice address
10753 Falls Rd
Suite 355, Pavilion II
Lutherville, MD 21093-4535
Phone
(410) 847-3700
NPI assigned
May 24, 2006
Last updated
Apr 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 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 D62684 MD Primary

Addresses

Primary practice location

10753 Falls Rd
Suite 355, Pavilion II
Lutherville, MD 21093-4535

Mailing address

10753 Falls Rd
Suite 355, Pavilion II
Lutherville, MD 21093-4535
Phone (410) 847-3700

Other identifiers 1

IdentifierTypeStateIssuer
408272900MedicaidMD

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
I20050721000328 MD Practitioner - Dermatology 1951338961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Massachusetts Medical School, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians

Practice addresses (Care Compare)

10753 Falls Rd
Suite 355
Lutherville, MD 21093-4556
Phone (410) 847-3700

10755 Falls Rd
Lutherville, MD 21093-4515
Phone (410) 955-5933

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions270
Skin biopsy76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D62684MDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Jul 1, 2005 Accepting new patients
Johns Hopkins University Dermatology CurrentSince Jul 1, 2005 Accepting new patients
Elisabeth G. Richard, MD PA Dermatology CurrentSince Jun 1, 2015 Accepting new patients
Johns Hopkins University Current Accepting new patients
Photodermatology Associates LLC Dermatology Past Accepting new patients
Medical Associates of the Pacific LLC Past Accepting new patients

Locations

601 N Caroline St
Baltimore, MD 21287
Phone (410) 955-5080

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

10753 Falls Rd
Ste 355
Lutherville Timonium, MD 21093
Phone (410) 847-3700

10755 Falls Rd
Timonium, MD 21093
Phone (410) 583-2727

Interoperability endpoints

  • Direct secure messaging: erichard6843@direct.hopkinsmedicine.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1932154093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10753 FALLS RD",
            "address_2": "SUITE 355, PAVILION II",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934535",
            "telephone_number": "410-847-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10753 FALLS RD",
            "address_2": "SUITE 355, PAVILION II",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934535",
            "telephone_number": "410-847-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "ELISABETH",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D62684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408272900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.