DATHAO HUYNH
NPI 1285268300
Nurse Practitioner - Family in Ellicott City, MD
About Dathao Huynh NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DATHAO HUYNH (NPI 1285268300) is an individual family provider in Ellicott City, Maryland, licensed in Maryland (R225185) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dathao Huynh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Dathao Huynh reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbia, MD 21045
- Reassigned Medicare billing, Maryland enrollment
- 5 clinicians in this Medicare group
Nottingham, MD 21236
- Reassigned Medicare billing, Maryland enrollment
- 2 clinicians in this Medicare group
Frederick, MD 21701
- Reassigned Medicare billing, Maryland enrollment
- 10 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ELLICOTT CITY, MD 21042
ELLICOTT CITY, MD 21042
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 Dathao Huynh's NPI number?
The NPI number for Dathao Huynh is 1285268300. It was assigned to this individual provider in the NPPES registry on February 27, 2020.
Where is Dathao Huynh located?
Dathao Huynh practices at 4801 Dorsey Hall Dr Ste 140, Ellicott City, MD 21042. The listed phone number is (410) 992-4100.
What is Dathao Huynh's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Dathao Huynh enrolled in Medicare?
Yes. Dathao Huynh is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Dathao Huynh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dathao Huynh reassigns Medicare benefits to 3 organizations: Medical And Aesthetic Dermatology (Columbia, MD), Lauring Dermatology LLC (Nottingham, MD) and Wellave, LLC (Frederick, MD). Each 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 Dathao Huynh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Dathao Huynh was last updated on February 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dathao Huynh · NPI 1285268300
Family physician in Ellicott City, Maryland. Individual provider, active in the CMS NPPES registry since February 27, 2020.
## Identity
- **NPI:** 1285268300 (Entity type: Individual)
- **Enumerated:** February 27, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R225185 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 4801 DORSEY HALL DR STE 140, Ellicott City, MD 21042-7703
- **Phone:** (410) 992-4100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Medical And Aesthetic Dermatology (NPI 1720364227, Columbia, MD); Lauring Dermatology LLC (NPI 1881059236, Nottingham, MD); Wellave, LLC (NPI 1891159661, Frederick, MD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 27, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1285268300) · Data from the CMS NPPES public registry.