Individual provider Active NPI

Maximilian Lang, MD

  • Anesthesiology Physician
  • Fairfield, OH
National Provider Identifier
1306370788
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35C.000962 Issued in OH
Practice address
3000 Mack Rd
Fairfield, OH 45014-5335
Phone
(513) 870-7000
NPI assigned
Apr 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X T7274 TX
Anesthesiology Physician 207L00000X 4523-320 WI
Anesthesiology Physician 207L00000X CDR.0002590 CO
Anesthesiology Physician 207L00000X ME159821 FL
Anesthesiology Physician 207L00000X 35C.000962 OH Primary

Addresses

Primary practice location

3000 Mack Rd
Fairfield, OH 45014-5335

Mailing address

4940 Boxwood Dr
Mason, OH 45040-1240
Phone (850) 980-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH, FL, IN, WI5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20220801002207 TX Practitioner - Anesthesiology 1355628942 Reassigns benefits to 1 organization
I20231004001495 OH Practitioner - Anesthesiology 1355628942 Reassigns benefits to 3 organizations
I20231117001664 FL Practitioner - Anesthesiology 1355628942 Reassigns benefits to 1 organization
I20241008004134 IN Practitioner - Anesthesiology 1355628942 Reassigns benefits to 1 organization
I20241119001742 WI Practitioner - Anesthesiology 1355628942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Vanderbilt University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PHS Anesthesia Billing, LLCGroup PAC ID 2264958412, 241 clinicians
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians

Practice addresses (Care Compare)

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8000

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3122

1431 SW 1St Ave
Ocala, FL 34471-6500
Phone (352) 401-1033

200 Medical Ctr Dr
Middletown, OH 45005-5200
Phone (513) 424-2111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35C.000962OHMDAnesthesiology Physician
4523-320WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Racine Anesthesia Services, LLC Anesthesiology CurrentSince Nov 1, 2024 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Anesthesiology CurrentSince Sep 21, 2023 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Reid Physician Associates, Inc. CurrentSince Nov 4, 2024 Accepting new patients
Baylor College of Medicine Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Arlington Anesthesia Partners LLC Anesthesiology CurrentSince Jan 30, 2025 Accepting new patients
PHS Anesthesia Billing, LLC Anesthesiology CurrentSince Aug 1, 2025 Accepting new patients
Baylor College of Medicine CurrentSince Jul 1, 2022 Accepting new patients
Reid Physician Associates, Inc CurrentSince Nov 4, 2024 Accepting new patients
Laboratory Corportation of America Holdings Past Accepting new patients

Locations

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000

6770 Bertner Ave
Houston, TX 77030
Phone (832) 355-3000

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

Interoperability endpoints

  • Direct secure messaging: mlang484491@reidhealth.direct-ci.com

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1306370788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 BOXWOOD DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401240",
            "telephone_number": "850-980-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MACK RD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145335",
            "telephone_number": "513-870-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "MAXIMILIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "T7274",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "4523-320",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "CDR.0002590",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME159821",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35C.000962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.