Individual provider Active NPI

Maximilian Elias Choi

  • Surgery Physician
  • Dallas, TX
National Provider Identifier
1023647864
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
T4136 Issued in TX
Practice address
17218 Preston Rd Ste 2000
Dallas, TX 75252-4018
Phone
(877) 866-7123
NPI assigned
Apr 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X T4136 TX Primary

Addresses

Primary practice location

17218 Preston Rd Ste 2000
Dallas, TX 75252-4018

Mailing address

PO Box 742712
Atlanta, GA 30374-2712
Phone (877) 866-7123

Other identifiers 1

IdentifierTypeStateIssuer
441060702MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220412001975 TX Practitioner - General SurgeryPractitioner - General Practice 2365838752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vohra Post Acute Care Physicians of Texas, PLLCGroup PAC ID 0042447682, 41 clinicians

Practice addresses (Care Compare)

1000 Wiggins Pkwy
Mesquite, TX 75150-7465
Phone (877) 866-7123

10064 Alameda Ave
Socorro, TX 79927-1801
Phone (915) 995-7230

11490 Gateway Blvd N
El Paso, TX 79934-3456
Phone (915) 317-1758

1200 7TH St NW
Childress, TX 79201-2627
Phone (940) 937-8668

1201 Clarks Dr
Abilene, TX 79602-3146
Phone (877) 866-7123

12660 Pebble Hills Blvd
El Paso, TX 79938-4886
Phone (915) 990-1700

1300 Seven Oaks Rd
Bonham, TX 75418-3254
Phone (877) 866-7123

1301 Mesa Dr
Plainview, TX 79072-3905
Phone (877) 866-7123

1316 S Florida St
Borger, TX 79007-6306
Phone (806) 273-3785

1321 W Kentucky Ave
Pampa, TX 79065-4142
Phone (806) 669-2551

1504 W Kentucky Ave
Pampa, TX 79065-3916
Phone (806) 665-5746

1621 Butler Dr
Dimmitt, TX 79027-2701
Phone (877) 866-7123

17218 Preston Rd
Suite 2000
Dallas, TX 75252-4018
Phone (469) 518-8472

3101 S Main St
Perryton, TX 79070-5345
Phone (806) 435-5403

315 E 19TH St
Dumas, TX 79029-5657
Phone (806) 935-4143

605 W 7TH St
McLean, TX 79057-0780
Phone (806) 779-2469

6650 S Soncy Rd
Amarillo, TX 79119-6655
Phone (877) 866-7123

900 College Ave
Borger, TX 79007-4405
Phone (877) 866-7123

901 Seven Oaks Rd
Bonham, TX 75418-3237
Phone (877) 866-7123

9650 Kenworthy St
El Paso, TX 79924-6011
Phone (915) 751-0967

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue2203
Removal of skin lesions71

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Marriott Medical Corp Surgery CurrentSince Mar 1, 2022 Accepting new patients
Vohra Post Acute Care Physicians of Texas, PLLC CurrentSince Jun 27, 2022 Accepting new patients

Locations

222 N Pacific Coast Hwy
Ste 2175
El Segundo, CA 90245
Phone (877) 850-8762

222 N Pacific Coast Hwy
Ste 1420
El Segundo, CA 90245

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

1201 Clarks Dr
Abilene, TX 79602
Phone (325) 670-9185

3830 Mustang Rd
Alvin, TX 77511
Phone (281) 585-8484

401 W Arbrook Blvd
Arlington, TX 76014
Phone (817) 466-3094

330 W Ben White Blvd
Austin, TX 78704
Phone (512) 705-7383

5800 W Baker Rd
Baytown, TX 77520
Phone (281) 424-4541

1175 Denton St
Beaumont, TX 77707
Phone (409) 842-3120

2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533

810 E 13th Ave
Belton, TX 76513
Phone (254) 939-1876

603 E Plantation Dr
Clute, TX 77531
Phone (979) 265-4221

17218 Preston Rd
Ste 2000
Dallas, TX 75252
Phone (469) 518-8472

1500 Sunset Dr
Friendswood, TX 77546
Phone (281) 922-4300

10777 Westheimer Rd
Ste 1100
Houston, TX 77042
Phone (713) 260-9671

545 E John Carpenter Fwy
Ste 300
Irving, TX 75062
Phone (214) 356-8072

1950 S Las Vegas Trl
Wht Settlemt, TX 76108
Phone (817) 246-1025

Organizations & group practices 2

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": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1023647864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742712",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742712",
            "telephone_number": "877-866-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17218 PRESTON RD STE 2000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752524018",
            "telephone_number": "877-866-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "MAXIMILIAN",
        "middle_name": "ELIAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-03",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "T4136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "441060702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.