Modern Dermatology of Maryland, LLC
NPI 1619605078 · Dermatology Physician · Annapolis, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Modern Dermatology of Maryland, LLC is a Dermatology Physician organization in Annapolis, MD (NPI 1619605078).
Provider details
- NPI number
- 1619605078
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lane Neidig, Managing Member(410) 216-0993
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
- Dermatopathology Physician207ND0900X
Allopathic & Osteopathic Physicians
- Pediatric Dermatology Physician207NP0225X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-08-12
- Last updated
- 2024-12-03
- Certified
- 2024-12-03
Frequently asked questions
- What is Modern Dermatology of Maryland, LLC's NPI number?
- Modern Dermatology of Maryland, LLC's National Provider Identifier (NPI) is 1619605078, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Dermatology of Maryland, LLC?
- Modern Dermatology of Maryland, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Modern Dermatology of Maryland, LLC located?
- Modern Dermatology of Maryland, LLC's practice location on file with NPPES is 2568a Riva Rd Ste 102, Annapolis, MD 21401-7457.
- What is Modern Dermatology of Maryland, LLC's phone number?
- The practice phone number listed in the NPPES registry for Modern Dermatology of Maryland, LLC is (410) 216-0993.
- Does Modern Dermatology of Maryland, LLC accept Medicare?
- Modern Dermatology of Maryland, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Modern Dermatology of Maryland, LLC?
- The authorized official listed on Modern Dermatology of Maryland, LLC's NPPES record is Lane Neidig, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Dermatology of Maryland, LLC's NPI active?
- Yes — Modern Dermatology of Maryland, LLC's NPI (1619605078) is active in the NPPES registry as of the last update on 2024-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.