John Kevin Maxwell, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME168491 Issued in FL

Practice address

1611 NW 12TH Ave # 1611
Miami, FL 33136-1005

Phone

(406) 939-0391

NPI assigned

Dec 6, 2006

Last updated

Jun 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MT, FL2 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

Merit-based Incentive Payment System (MIPS)

Final score

87.93 of 100Reported as group

Quality

78.79

Promoting interoperability

100

Improvement activities

40

Cost

71.44

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/dahlmem-def2a17d
• Direct secure messaging: jmaxwell@gmc.cernerdirect.com
• Direct secure messaging: jmaxwell136124@direct.med.miami.edu

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.

• University of Miami

  dba UMiami Medicine - Hepatology

  • Hepatology Physician
  • Miami, FL
  • NPI 1013967827
  Medicare reassignment NPD
• Dahl Memorial Healthcare Association Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Ekalaka, MT
  • NPI 1245389980
  Medicare reassignment NPD
• Glendive Medical Center, Inc

  • Critical Access Hospital Clinic/Center
  • Glendive, MT
  • NPI 1033129622
  Medicare reassignment NPD
• Dakota Plains Radiology PC

  • Vascular & Interventional Radiology Physician
  • Williston, ND
  • NPI 1992879746

  Body Imaging

  NPD (past) Authorized official
• University of Miami

  dba UMiami Medicine Multi Specialty Services

  • Internal Medicine Physician
  • Miami Beach, FL
  • NPI 1124768627
  NPD
• University of Miami

  dba UMiami Medicine - Radiology at FAU

  • Diagnostic Radiology Physician
  • Boca Raton, FL
  • NPI 1447495775
  NPD
• Glendive Medical Center, Inc

  • Hospitalist Physician
  • Glendive, MT
  • NPI 1174836506
  NPD
• Glendive Medical Center, Inc

  dba Gabert Clinic

  • Rural Health Clinic/Center
  • Glendive, MT
  • NPI 1215040449
  NPD
• Glendive Medical Center, Inc

  • Critical Access Hospital
  • Glendive, MT
  • NPI 1376552893
  NPD
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)
• Southern Smokies Radiology

  • Diagnostic Radiology Physician
  • Murphy, NC
  • NPI 1356549737
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1194884353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 114",
            "city": "FALLON",
            "state": "MT",
            "postal_code": "593260114",
            "telephone_number": "406-939-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE # 1611",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "406-939-0391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 114",
            "address_purpose": "LOCATION",
            "city": "Fallon",
            "state": "MT",
            "postal_code": "593260114",
            "country_code": "US",
            "telephone_number": "406-939-0391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "JOHN",
        "middle_name": "KEVIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "FL",
            "license": "ME168491",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME168491",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "FL",
            "license": "ME168491",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME168491",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME168491",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "FL",
            "license": "ME168491",
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "FL",
            "license": "ME168491",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WPS",
            "identifier": "A001 A002",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "22500",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59823",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12076",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maxismile & Dental Care Corp
• Maxmil Inc
• Jessica Gayle Maxsween
• Maxwell Behavioral LLC
• Maxwell Rehab Center Inc
• Maxy Group Inc
• Solangel May Diaz
• Elizabeth May-Smith, MD
• Carrie Leigh May
• Dustin Webster Campbell May, D.O.

• Diagnostic Radiology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.

Verify at the official NPI Registry.