Individual provider Active NPI

Alice He

  • Dermatology Physician
  • Annapolis, MD
National Provider Identifier
1972992634
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D90864 Issued in MD
Practice address
2002 Medical Pkwy Ste 630
Annapolis, MD 21401-3059
Phone
(410) 224-2260
NPI assigned
Jan 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X H-000-048-454-080 MD
Dermatology Physician 207N00000X D90864 MD Primary

Addresses

Primary practice location

2002 Medical Pkwy Ste 630
Annapolis, MD 21401-3059

Mailing address

1306 Concourse Dr Ste 201
Linthicum, MD 21090-1033

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
I20210709000762 MD Practitioner - Dermatology 9739437187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Johns Hopkins University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anne Arundel Dermatology PAGroup PAC ID 6608761960, 126 clinicians

Practice addresses (Care Compare)

2002 Medical Pkwy
Suite 630
Annapolis, MD 21401-3059
Phone (410) 224-2260

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision377
Removal of skin lesions1334
Removal or shaving of skin growth1-10
Skin biopsy428

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D90864MDMDDermatopathology (Pathology) Physician
H-000-048-454-080MDMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Arundel Dermatology LLC Dermatology CurrentSince Aug 1, 2021 Accepting new patients

Locations

180 Admiral Cochrane Dr
Ste 430
Annapolis, MD 21401
Phone (410) 263-5439

2002 Medical Pkwy
Ste 630
Annapolis, MD 21401
Phone (410) 224-2260

1306 Concourse Dr
Ste 201
Linthicum Heights, MD 21090

Interoperability endpoints

  • Direct secure messaging: alicehe@aadermaffiliates.emadirect.md
  • Direct secure messaging: alicehe@arundel.emadirect.md

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": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1972992634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 CONCOURSE DR STE 201",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210901033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 MEDICAL PKWY STE 630",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013059",
            "telephone_number": "410-224-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HE",
        "first_name": "ALICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MD",
            "license": "H-000-048-454-080",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D90864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.