Individual provider Active NPI

Mikhael Polotsky, M.D.

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1275943441
Registry record updated Dec 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D81929 Issued in MD
Practice address
6565 N Charles St
Suite 203
Baltimore, MD 21204-6800
Phone
(443) 849-3760
Fax
(443) 849-8138
NPI assigned
Apr 28, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X D81929 MD Primary

Addresses

Primary practice location

6565 N Charles St
Suite 203
Baltimore, MD 21204-6800

Mailing address

3417 Englemeade Rd
Pikesville, MD 21208-1602
Phone (443) 928-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, CA2 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
I20200629000893 MD Practitioner - Diagnostic Radiology 1052535390 Reassigns benefits to 3 organizations
I20230111001431 CA Practitioner - Diagnostic Radiology 1052535390 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Columbia University College of Physicians and Surgeons, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 N Wolfe St
Apt 404
Baltimore, MD 21231-1696
Phone (925) 296-7150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.67 of 100Reported as group
Quality
84.1
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Diagnostic Radiology, LLC Single Specialty Current Accepting new patients
Magnetic Imaging Affiliates, LLC Single Specialty CurrentSince Feb 1, 2023 Accepting new patients
Bay Imaging Consultants Medical Group Inc Single Specialty CurrentSince Feb 1, 2023 Accepting new patients
County of Santa Clara CurrentSince Oct 1, 2024 Accepting new patients
John Muir Trauma Physicians Billing Service Single Specialty CurrentSince Nov 7, 2023 Accepting new patients
Bay Imaging Consultants Medical Group Inc Single Specialty CurrentSince Feb 1, 2023 Accepting new patients
County of Santa Clara Single Specialty CurrentSince Oct 1, 2024 Accepting new patients
Michael P Sherman MD PHD, a Medical Corporation Single Specialty CurrentSince Feb 1, 2023 Accepting new patients
County of Santa Clara CurrentSince Oct 1, 2024 Accepting new patients
County of Santa Clara Single Specialty CurrentSince Oct 1, 2024 Accepting new patients
County of Santa Clara Single Specialty Current Accepting new patients
County of Santa Clara Single Specialty Current Accepting new patients
John Muir Trauma Physicians Billing Service Single Specialty Current Accepting new patients
University of Maryland Diagnostic Radiology, LLC Single Specialty CurrentSince Nov 1, 2020 Accepting new patients
John Muir Magnetic Imaging Center Single Specialty CurrentSince Feb 1, 2023 Accepting new patients
Bay Imaging Consultants Medical Group Inc Single Specialty Current Accepting new patients
Northbay Healthcare Group Single Specialty Past Accepting new patients
John Muir Physician Network Single Specialty Past Accepting new patients

Locations

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

5730 Telegraph Ave
Oakland, CA 94609
Phone (510) 204-1507

5730 Telegraph Ave
Ste 200
Oakland, CA 94609

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

500 Lennon Ln
Walnut Creek, CA 94598
Phone (925) 939-9610

2125 Oak Grove Rd
Ste 200
Walnut Creek, CA 94598
Phone (925) 993-9440

115 La Casa Via
#100
Walnut Creek, CA 94598
Phone (925) 295-1545

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

Interoperability endpoints

  • Direct secure messaging: mpolotsky649356@hisp.ehr.sutterhealth.org
  • Direct secure messaging: mpolotsky201122@santaclaravalley.direct-ci.net

Organizations & group practices 18

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 18

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": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1275943441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 ENGLEMEADE RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212081602",
            "telephone_number": "443-928-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 N CHARLES ST",
            "address_2": "SUITE 203",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046800",
            "telephone_number": "443-849-3760",
            "fax_number": "443-849-8138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLOTSKY",
        "first_name": "MIKHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-28",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D81929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.