Individual provider Active NPI

Michael S. Morris, M.D.

  • Otolaryngology Physician
  • Rockville, MD
National Provider Identifier
1376632778
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
D0030027 Issued in MD
Practice address
14955 Shady Grove Rd
Suite 240
Rockville, MD 20850-8700
Phone
(301) 279-7522
Fax
(301) 279-9010
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X D0030027 MD Primary
Otolaryngology Physician 207Y00000X MD17378 DC

Addresses

Primary practice location

14955 Shady Grove Rd
Suite 240
Rockville, MD 20850-8700

Mailing address

14955 Shady Grove Rd
Suite 240
Rockville, MD 20850-8700
Phone (301) 279-7522

Other identifiers 4

IdentifierTypeStateIssuer
552180OtherMDUNITEDHEALTH PROVIDER ID
41520001OtherDCBCBS NCA PROVIDER ID
5120441OtherMDAETNA PROVIDER ID
0M46MSOtherMDBCBS OF MD PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20040102000463 DC Practitioner - Otolaryngology 2466351069

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S. Morris M.D., LLC Otolaryngology CurrentSince Sep 11, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

14955 Shady Grove Rd
Ste 240
Rockville, MD 20850
Phone (301) 279-7522

Organizations & group practices 2

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1376632778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14955 SHADY GROVE RD",
            "address_2": "SUITE 240",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208508700",
            "telephone_number": "301-279-7522",
            "fax_number": "301-279-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14955 SHADY GROVE RD",
            "address_2": "SUITE 240",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208508700",
            "telephone_number": "301-279-7522",
            "fax_number": "301-279-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "MICHAEL",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D0030027",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "DC",
            "license": "MD17378",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTH PROVIDER ID",
            "identifier": "552180",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NCA PROVIDER ID",
            "identifier": "41520001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "5120441",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MD PROVIDER ID",
            "identifier": "0M46MS",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.