Active NPI
Mikhael Polotsky, M.D.
- Diagnostic Radiology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- D81929
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 100
- Quality
- 84.1
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Diagnostic Radiology, LLC | Single Specialty | Current | Accepting new patients |
| Magnetic Imaging Affiliates, LLC | Single Specialty | Current | Accepting new patients |
| Bay Imaging Consultants Medical Group Inc | Single Specialty | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| John Muir Trauma Physicians Billing Service | Single Specialty | Current | Accepting new patients |
| Bay Imaging Consultants Medical Group Inc | Single Specialty | Current | Accepting new patients |
| County of Santa Clara | Single Specialty | Current | Accepting new patients |
| Michael P Sherman MD PHD, a Medical Corporation | Single Specialty | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Single Specialty | Current | 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 | Current | Accepting new patients |
| John Muir Magnetic Imaging Center | Single Specialty | Current | 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
- mpolotsky649356@hisp.ehr.sutterhealth.org
- 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.
-
- Diagnostic Radiology Physician
- Walnut Creek, CA
- NPI 1831756139
MD, Single Specialty
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1629301346
Single Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
Single Specialty
-
- Diagnostic Radiology Physician
- Walnut Creek, CA
- NPI 1235184110
MD, Single Specialty
-
- Hospitalist Physician
- Walnut Creek, CA
- NPI 1093864837
Single Specialty
-
- Diagnostic Radiology Physician
- Oakland, CA
- NPI 1487040770
MD, Single Specialty
-
- Hematology & Oncology Physician
- Walnut Creek, CA
- NPI 1831201912
Single Specialty
-
- Diagnostic Radiology Physician
- La Plata, MD
- NPI 1467996959
Single Specialty
-
- Diagnostic Radiology Physician
- Glen Burnie, MD
- NPI 1548803257
Single Specialty
-
- Diagnostic Radiology Physician
- Castro Valley, CA
- NPI 1598019085
Single Specialty
-
- Diagnostic Radiology Physician
- Berkeley, CA
- NPI 1871749754
Single Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Walnut Creek, CA
- NPI 1740215219
-
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; 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.