Individual provider Active NPI

Derrick Alwyn Fox, M.D.

  • Neurology Physician
  • Columbia, MD
National Provider Identifier
1336403237
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D0091936 Issued in MD
Practice address
11055 Little Patuxent Pkwy Ste 203
Columbia, MD 21044-2898
Phone
(443) 524-0885
Fax
(443) 524-0887
NPI assigned
Jun 26, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X DO091936 MD
Neurology Physician 2084N0400X 2018-01193 NC
Neurology Physician 2084N0400X 036150058 IL
Neurology Physician 2084N0400X D0091936 MD Primary

Addresses

Primary practice location

11055 Little Patuxent Pkwy Ste 203
Columbia, MD 21044-2898

Mailing address

11055 Little Patuxent Pkwy Ste 203
Columbia, MD 21044-2898
Phone (443) 524-0885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220616001724 MD Practitioner - Neurology 2264736578 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Duke University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians
Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

Practice addresses (Care Compare)

11055 Little Patuxent Pkwy
Suite 203
Columbia, MD 21044-2898
Phone (443) 524-0085

187 Thomas Johnson Dr
Frederick, MD 21702-4503

6410 Rockledge Dr
Bethesda, MD 20817-1844

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DO091936MDMDNeuromuscular Medicine (Psychiatry & Neurology) Physician
D0091936MDMDNeurology Physician
2018-01193NCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2023 Accepting new patients
Maryland Neuromuscular Center LLC Neuromuscular Medicine CurrentSince May 24, 2024 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

11055 Little Patuxent Pkwy
Ste 203
Columbia, MD 21044
Phone (410) 312-9076

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

2000 15th St N
Ste 600
Arlington, VA 22201
Phone (202) 425-0000

Interoperability endpoints

  • Direct secure messaging: dfox1316837@direct.hopkinsmedicine.org
  • Direct secure messaging: derrick.fox.1@31367.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1336403237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11055 LITTLE PATUXENT PKWY STE 203",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442898",
            "telephone_number": "443-524-0885",
            "fax_number": "443-524-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11055 LITTLE PATUXENT PKWY STE 203",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442898",
            "telephone_number": "443-524-0885",
            "fax_number": "443-524-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "DERRICK",
        "middle_name": "ALWYN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "MD",
            "license": "DO091936",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2018-01193",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036150058",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0091936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.