KATINA BYRD MILES, MD LLC
NPI 1104234319
Dermatology in Gambrills, MD

Active since July 31, 2014
2401 BRANDERMILL BLVD, SUITE 240, GAMBRILLS, MD 21054(410) 451-0500 Get Directions Write a Review

NPPES record last updated: October 15, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Katina Byrd Miles, Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATINA BYRD MILES, MD LLC (NPI 1104234319) is a healthcare organization registered as a dermatology in Gambrills, Maryland and active in the NPI registry since July 2014. The organization lists Katina Bryd Miles, Owner, as its authorized official.

NPPES Registry Identity

NPI1104234319
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameKATINA BYRD MILES, MD LLC
Location Address2401 BRANDERMILL BLVD, SUITE 240Gambrills, MD 21054
Mailing Address2401 Brandermill Blvd, Suite 240Gambrills, MD 21054-1690 · (410) 451-0500
Organization SubpartNo
Authorized OfficialKatina Bryd MilesOwner · (410) 451-0500
Enumeration DateJuly 31, 2014
Last NPPES UpdateOctober 15, 2014
✔ NPI 1104234319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MD · D0057437
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2401 BRANDERMILL BLVD, Gambrills, MD 21054

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katina Byrd Miles, Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Katina Byrd Miles, MD LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1053460568
11701 LIVINGSTON RD SUITE 302
Fort Washington, MD 20744
(301) 292-6010
✔ PECOS✔ Accepts Medicare27 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katina Byrd Miles, MD LLC's NPI number?

The NPI number for Katina Byrd Miles, MD LLC is 1104234319. It was assigned to this organization in the NPPES registry on July 31, 2014.

Where is Katina Byrd Miles, MD LLC located?

Katina Byrd Miles, MD LLC is located at 2401 Brandermill Blvd Suite 240, Gambrills, MD 21054. The listed phone number is (410) 451-0500.

What is Katina Byrd Miles, MD LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Katina Byrd Miles, MD LLC enrolled in Medicare?

Yes. Katina Byrd Miles, MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Katina Byrd Miles, MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Katina Byrd Miles, MD LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Katina Byrd Miles, MD LLC was last updated on October 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.