Individual provider Active NPI

John Harvey, MD

  • Vascular Surgery Physician
  • Hollywood, MD
National Provider Identifier
1104851336
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
D0061758 Issued in MD
Practice address
24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone
(301) 373-7900
Fax
(301) 373-6900
NPI assigned
Jul 12, 2006
Last updated
Feb 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X D0061758 MD Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050118000924 MD Practitioner - Vascular SurgeryPractitioner - General Surgery 2567411473 Reassigns benefits to 2 organizations
I20201104001757 DC Practitioner - Vascular Surgery 2567411473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.41 of 100Reported as group
Quality
61.45
Promoting interoperability
96
Improvement activities
40
Cost
79.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)18
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue873
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0061758MDMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Nov 1, 2020 Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Jan 1, 2023 Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Apr 1, 2015 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

  • Direct secure messaging: john.harveymd.p2@direct.msmg.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Medstar St. Mary's HospitalLeonardtown, MD, CCN 210028 Hospital Corporate Director Aug 26, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1104851336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24035 THREE NOTCH RD",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206364871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24035 THREE NOTCH RD",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206364871",
            "telephone_number": "301-373-7900",
            "fax_number": "301-373-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14090 solomons island rd",
            "address_2": "suite 2100",
            "address_purpose": "LOCATION",
            "city": "solomons",
            "state": "MD",
            "postal_code": "20688",
            "country_code": "US",
            "telephone_number": "410-394-2700",
            "fax_number": "410-394-2701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Saint Patricks Dr",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206034527",
            "country_code": "US",
            "telephone_number": "301-705-7870",
            "fax_number": "301-870-8832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "D0061758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, MD

Sources for this page

Verify at the official NPI Registry.