Maxim Danilevich, M.D.

Primary specialty

Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X

License

T1929 Issued in TX

Practice address

508 Medical Center Blvd Ste 360
Conroe, TX 77304-2953

Phone

(936) 756-2229

Fax

(844) 274-2115

NPI assigned

Jul 2, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Orthopedic Surgery

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialty Associates of West Houston PLLCGroup PAC ID 6800056177, 125 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Houston Healthcare Conroe Hospital, Conroe, TX, CCN 450222

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maxim.danilevich@hca9.eclinicaldirectplus.com

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.

• Specialty Associates of West Houston PLLC

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1699062349
  Medicare reassignment Care Compare group NPD
• Surgical Specialists of Conroe, PLLC

  • Orthopaedic Surgery Physician
  • Conroe, TX
  • NPI 1689062135
  Medicare reassignment NPD
• Neuro-Hospitalist of Clear Lake, PLLC

  • Psychiatry Physician
  • Webster, TX
  • NPI 1619277183
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chca Conroe LP

  • General Acute Care Hospital
  • Conroe, TX
  • NPI 1962455816
  Care Compare affiliation

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1497138804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 MEDICAL CENTER BLVD STE 360",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042953",
            "telephone_number": "936-756-2229",
            "fax_number": "844-274-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 MEDICAL CENTER BLVD STE 360",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042953",
            "telephone_number": "936-756-2229",
            "fax_number": "844-274-2115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22999 Highway 59 N Ste 210",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773394441",
            "country_code": "US",
            "telephone_number": "281-571-7508",
            "fax_number": "844-301-3354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8700 Beverly Blvd",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900481804",
            "country_code": "US",
            "telephone_number": "310-423-4566",
            "fax_number": "310-423-9958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Utmb",
            "address_2": "301 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775550165",
            "country_code": "US",
            "telephone_number": "409-747-5727",
            "fax_number": "409-747-5715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANILEVICH",
        "first_name": "MAXIM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-02",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A168900",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "T1929",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "TX",
            "license": "T1929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danestarah Services
• Daniel R. Walker, M.D., P.a.
• Emily Ann Daniel, LPC
• Kevin Lee Daniel, M.A.
• Lindsey Heap Danielson, FNP-C
• Erin Danis
• Amanda Dannar, LCSW
• Jennifer Darby, NP-C
• Chanelle Dargin, RN
• Roham Darvishi, M.D.

• Orthopaedic Trauma Physician in Conroe, TX
• Providers in Conroe, TX by specialty
• Orthopaedic Trauma Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.

Verify at the official NPI Registry.