John Harvey, MD
Individual provider Active NPI Vascular Surgery Physician · Hollywood, MD
NPI 1104851336 · NPPES record last updated Feb 2, 2023
Key facts
- NPI
- 1104851336
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- License
- D0061758 (MD)
- Practice address
- 24035 Three Notch Rd
Hollywood, MD 20636-4871 - Phone
- (301) 373-7900
- Fax
- (301) 373-6900
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Vascular Surgery
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medstar Medical Group - Southern Maryland LLC
Practice addresses (Care Compare)
24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900
Hospital & facility affiliations
- Medstar Health Home Care
- Medstar Saint Mary'S Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.41 of 100
- Quality
- 61.45
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 79.91
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 18 |
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 873 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Medstar St. Mary'S Hospital |
Hospital | Corporate Director | Aug 26, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050118000924 | MD | Practitioner - Vascular Surgery |
2567411473 | Reassigns benefits to 2 organizations |
| I20201104001757 | DC | Practitioner - Vascular Surgery | 2567411473 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0061758 | MD | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group - Southern Maryland LLC | Current |
Accepting new patients | |
| Medstar Medical Group - Southern Maryland LLC | Current |
Accepting new patients | |
| Medstar Medical Group - Southern Maryland LLC | Current |
Accepting new patients | |
| Medstar Southern Maryland Physicians, LLC | Past | Accepting new patients |
Locations
950 E Swan Creek Rd
Ft Washington, MD 20744
Phone (301) 292-0236
24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588
22650 Cedar Lane Ct
Leonardtown, MD 20650
Phone (301) 475-5021
10 Saint Patricks Dr
Waldorf, MD 20603
Phone (301) 705-7870
10 Saint Patricks Dr
Fl 3
Waldorf, MD 20603
Phone (240) 448-2970
Interoperability endpoints
- john.harveymd.p2@direct.msmg.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | D0061758 | MD | Yes |
Addresses
Primary practice location
24035 Three Notch Rd
Hollywood, MD 20636-4871
Mailing address
24035 Three Notch Rd
Hollywood, MD 20636-4871
Other practice location 1
14090 solomons island rd
suite 2100
solomons, MD 20688
Phone (410) 394-2700
Other practice location 2
10 Saint Patricks Dr
Waldorf, MD 20603-4527
Phone (301) 705-7870
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00214504 | Other | MD | MEDICARE RAILRAOD |
| 406556500 | Medicaid | MD |
Other providers in Hollywood, MD
- Greenwell Foundation
- Vijaya Guduri
- Halappa Hakkal
- Harbor Bay Clinic of Chiropractic, LLC
- Brianna M Hardcastle
- Helpstars LLC
- Michelle R Hinds
- Jenna Holmes
- Rachael Alicia Howell
- Mary Rice Hughes
All providers in Hollywood, MD · Vascular Surgery Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.