Individual provider Active NPI

Andrew James Maxwell, MD

  • Pediatric Cardiology Physician
  • Palo Alto, CA
National Provider Identifier
1497736201
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
A48667 Issued in CA
Practice address
725 Welch Rd
Palo Alto, CA 94304-1601
Phone
(650) 497-8000
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A48667 CA
Pediatric Cardiology Physician 2080P0202X A48667 CA Primary

Addresses

Primary practice location

725 Welch Rd
Palo Alto, CA 94304-1601

Mailing address

725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 497-8000

Other practice location 1

5933 Coronado Ln
Suite 104
Pleasanton, CA 94588-8597
Phone (925) 416-0100

Other identifiers 1

IdentifierTypeStateIssuer
00A486670MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080419000065 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 3274611090 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48667CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Township Hospital District Current Accepting new patients
Washington Township Hospital District CurrentSince May 3, 2014 Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
John Muir Health Past Accepting new patients
Sutter Tracy Community Hospital Past Accepting new patients
Hayward Sisters Hospital Past Accepting new patients
San Ramon Regional Medical Center, LLC Past Accepting new patients
Sutter Delta Medical Center Past Accepting new patients
Andrew J Maxwell, M.D. Inc Pediatric Cardiology Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients
Lucile Salter Packard Children'S Hospital at Stanford Past Accepting new patients
Sequoia Health Services Past Accepting new patients
John Muir Health Past Accepting new patients

Locations

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

2333 Mowry Ave
Ste 220
Fremont, CA 94538
Phone (510) 792-2012

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: amaxwell14371@alamedahs.direct-ci.com
  • Direct secure messaging: andrew.maxwell@1017507376594948.direct.elationemr.com
  • Direct secure messaging: amaxwell95723@hisp.ehr.sutterhealth.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1497736201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 WELCH RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041601",
            "telephone_number": "650-497-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 WELCH RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041601",
            "telephone_number": "650-497-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5933 Coronado Ln",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "CA",
            "postal_code": "945888597",
            "country_code": "US",
            "telephone_number": "925-416-0100",
            "fax_number": "925-397-2193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A48667",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "A48667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A486670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.