Active NPI
Maksim Aleksandrovich Shlykov, MD
- Orthopaedic Surgery of the Spine Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 2022011100
- Practice address
- 301 Saint Paul St
Baltimore, MD 21202-2102 - Phone
- (410) 539-3434
- Fax
- (410) 539-3550
- NPI assigned
- Jun 20, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 2022011100 | MO | Primary |
Addresses
Primary practice location
301 Saint Paul St
Baltimore, MD 21202-2102
Mailing address
301 Saint Paul St
Baltimore, MD 21202-2102
Phone (410) 539-3434
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Michigan Medical School, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12 Newport Dr
Forest Hill, MD 21050-1758
301 Saint Paul St
Lowr Level
Baltimore, MD 21202-2102
Phone (410) 539-3434
Hospital & facility affiliations
- Mercy Medical Center Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 253 |
| Laminectomy or laminotomy (partial removal of spine bones) | 100 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022011100 | MO | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Spine Center Chartered | Orthopaedic Surgery | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930
301 Saint Paul St
Lowr
Baltimore, MD 21202
114 Business Center Dr
Reisterstown, MD 21136
Phone (410) 661-3338
Interoperability endpoints
- mshlykov97601@direct.mdmercy.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery of the Spine Physician
- Baltimore, MD
- NPI 1952418535
-
- Physical Therapist
- Forest Hill, MD
- NPI 1578900668
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1144282583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1104346337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 SAINT PAUL ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212022102",
"telephone_number": "410-539-3434",
"fax_number": "410-539-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 SAINT PAUL ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212022102",
"telephone_number": "410-539-3434",
"fax_number": "410-539-3550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHLYKOV",
"first_name": "MAKSIM",
"middle_name": "ALEKSANDROVICH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-20",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "MO",
"license": "2022011100",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "4921 Parkview Pl",
"address_2": "Ste 6A/6B/12A",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631101032",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.