UNIVERSITY OF MARYLAND DERMATOLOGISTS PA
NPI 1912876855
Clinical Medical Laboratory in Baltimore, MD

Active since October 30, 2025
22 S GREENE ST, NBW73, BALTIMORE, MD 21201(667) 214-1608(410) 328-0929 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About University Of Maryland Dermatologists Pa NPPES

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

UNIVERSITY OF MARYLAND DERMATOLOGISTS PA (NPI 1912876855) is a healthcare organization registered as a clinical medical laboratory in Baltimore, Maryland and active in the NPI registry since October 2025. The organization lists Katelyn Pettit, Reimbursement Ops Credentialing Spe, as its authorized official.

NPPES Registry Identity

NPI1912876855
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameUNIVERSITY OF MARYLAND DERMATOLOGISTS PA
Location Address22 S GREENE ST, NBW73Baltimore, MD 21201-1544
Mailing AddressPo Box 64445Baltimore, MD 21264-4445 · (667) 214-1608 · Fax (410) 328-0929
Fax(410) 328-0929
Organization SubpartNo
Authorized OfficialKatelyn PettitReimbursement Ops Credentialing Spe · (667) 214-1353
Enumeration DateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
✔ NPI 1912876855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
22 S GREENE ST, Baltimore, MD 21201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

University Of Maryland Dermatologists Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to University Of Maryland Dermatologists PA, which bills Medicare for the services they deliver. Of these, 14 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Dermatology17
Nurse Practitioner2
Pathology1

Clinicians, nearest first (20)

Nurse Practitioner
NPI 1558171835
419 W REDWOOD ST
Baltimore, MD 21201
(667) 214-1171
✔ PECOS✔ Accepts Medicare0.1 mi
Dermatology
NPI 1114450574
419 W REDWOOD ST STE 235
Baltimore, MD 21201
(667) 214-1171
✔ PECOS✔ Accepts Medicare0.1 mi
Dermatology
NPI 1124606033
419 W REDWOOD ST
Baltimore, MD 21201
(667) 214-1171
✔ PECOS✔ Accepts Medicare0.1 mi
Dermatology
NPI 1407014913
419 WEST REDWOOD STREET SUITE 260
Baltimore, MD 21201
(410) 328-5823
✔ PECOS✔ Accepts Medicare0.1 mi
Dermatology
NPI 1124127899
419 W REDWOOD ST SUITE 160
Baltimore, MD 21201
(410) 328-3167
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1285241653
301 SAINT PAUL ST
Baltimore, MD 21202
(410) 332-9680
✔ PECOS✔ Accepts Medicare0.7 mi
Dermatology
NPI 1487689287
601 N CAROLINE ST
Baltimore, MD 21287
(410) 955-5933
✔ PECOS1.5 mi
Dermatology
NPI 1205191400
601 N CAROLINE ST STE 8065
Baltimore, MD 21287
(410) 955-5933
✔ PECOS✔ Accepts Medicare1.6 mi
Dermatology
NPI 1679708416
1104 KENILWORTH DR STE 201
Towson, MD 21204
(410) 328-6110
✔ PECOS✔ Accepts Medicare8.8 mi
Dermatology
NPI 1538525878
1447 YORK RD STE 102
Lutherville, MD 21093
(667) 214-1171
✔ PECOS✔ Accepts Medicare9.1 mi
Dermatology
NPI 1891176244
1447 YORK RD STE 102
Lutherville, MD 21093
(667) 214-1171
✔ PECOS✔ Accepts Medicare9.1 mi
Pathology
NPI 1881647535
810 LANDMARK DRIVE SUITE 217-219
Glen Burnie, MD 21061
(888) 276-2223
✔ PECOS✔ Accepts Medicare9.6 mi
Dermatology
NPI 1770140535
810 LANDMARK DR STE 217-219
Glen Burnie, MD 21061
(410) 766-1324
✔ PECOS✔ Accepts Medicare9.6 mi
Dermatology
NPI 1609830736
810 LANDMARK DRIVE SUITE 217-219
Glen Burnie, MD 21061
(888) 276-2223
✔ PECOS✔ Accepts Medicare9.7 mi
Dermatology
NPI 1114986429
10910 LITTLE PATUXENT PKWY STE 205
Columbia, MD 21044
(410) 772-0707
✔ PECOS✔ Accepts Medicare15 mi
Dermatology
NPI 1831171099
2 NORTH AVE SUITE 100
Bel Air, MD 21014
(410) 836-5034
✔ PECOS✔ Accepts Medicare23 mi
Dermatology
NPI 1316169758
4201 NORTHVIEW DR STE 200
Bowie, MD 20716
(443) 637-2888
✔ PECOS✔ Accepts Medicare24 mi
Dermatology
NPI 1306980602
10 CENTER DR BUILDING 10, ROOM 12N242, MSC1908
Bethesda, MD 20892
(301) 451-1926
✔ PECOS✔ Accepts Medicare32 mi
Dermatology
NPI 1740817162
1425 S HOWARD AVE
Tampa, FL 33606
(813) 253-2635
✔ PECOS✔ Accepts Medicare852 mi
Dermatology
NPI 1003347519
2299 POST ST STE 312
San Francisco, CA 94115
(415) 292-6350
✔ PECOS2,457 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 University Of Maryland Dermatologists PA's NPI number?

The NPI number for University Of Maryland Dermatologists PA is 1912876855. It was assigned to this organization in the NPPES registry on October 30, 2025.

Where is University Of Maryland Dermatologists PA located?

University Of Maryland Dermatologists PA is located at 22 S Greene St Nbw73, Baltimore, MD 21201. The listed phone number is (667) 214-1608.

What is University Of Maryland Dermatologists PA's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Is University Of Maryland Dermatologists PA enrolled in Medicare?

Yes. University Of Maryland Dermatologists PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through University Of Maryland Dermatologists PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 3 Medicare specialties reassign their Medicare billing to University Of Maryland Dermatologists PA. 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. The largest specialties are Dermatology (17), Nurse Practitioner (2) and Pathology (1). Of these, 14 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for University Of Maryland Dermatologists PA was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.