Individual provider Active NPI

Michael E Ronan, PAC

  • Surgical Physician Assistant
  • Columbia, MD
National Provider Identifier
1255349940
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
C0001625 Issued in MD
Practice address
10700 Charter Dr
Columbia, MD 21044-3629
Phone
(301) 774-0500
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X C0001625 MD Primary

Addresses

Primary practice location

10700 Charter Dr
Columbia, MD 21044-3629

Mailing address

9910 Franklin Square Dr Ste 220
Baltimore, MD 21236-4902
Phone (410) 933-5412

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101111000904 MD Practitioner - Physician Assistant 9032304373 Reassigns benefits to 1 organization
I20130916000293 DC Practitioner - Physician Assistant 9032304373 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johns Hopkins UniversityGroup PAC ID 4981745098, 711 clinicians

Practice addresses (Care Compare)

10710 Charter Dr
Suite 300
Columbia, MD 21044-3260
Phone (410) 644-1880

19801 Observation Dr
Germantown, MD 20876-4070
Phone (301) 694-8311

19851 Observation Dr
Suite 450
Germantown, MD 20876-4070
Phone (301) 977-6777

3414 Olandwood CT
Olney, MD 20832-1384
Phone (301) 774-0500

5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone (202) 660-6500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Sep 1, 2021 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Mar 3, 2014 Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Mar 3, 2014 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 1, 2013 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Feb 1, 2014 Accepting new patients
Johns Hopkins University CurrentSince Sep 1, 2021 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 1, 2013 Accepting new patients
Potomac Valley Orthopedic Assoc, Chartered Past Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients
Centers for Advanced Orthopaedics LLC Past Accepting new patients

Locations

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

10700 Charter Dr
Ste 100
Columbia, MD 21044
Phone (301) 774-0500

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

10700 Charter Dr
Columbia, MD 21044
Phone (443) 546-1550

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

15245 Shady Grove Rd
Ste 170
Rockville, MD 20850
Phone (301) 774-0500

Interoperability endpoints

  • Direct secure messaging: mronan52242@direct.hopkinsmedicine.org
  • FHIR API: https://api.platform.athenahealth.com/11237/brand/1/csg/1/fhir/r4

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1255349940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 FRANKLIN SQUARE DR STE 220",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364902",
            "telephone_number": "410-933-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 CHARTER DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443629",
            "telephone_number": "301-774-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONAN",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Prof.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C0001625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.