Nicholas Eugene Maksim, D.O., R.PH.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

34009062 Issued in OH

Practice address

247 S Burnett Road
Suite 120
Springfield, OH 45505

Phone

(740) 845-7700

Fax

(740) 845-7701

NPI assigned

May 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Cardiovascular Disease (Cardiology)

Education

Ohio Medical University, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Osup Community Outreach LLCGroup PAC ID 5799008082, 147 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Madison Health Hospital, London, OH, CCN 360189
• Doctors Hospital Hospital, Columbus, OH, CCN 360152
• Ohio State University State Health System Hospital, Columbus, OH, CCN 360085

Merit-based Incentive Payment System (MIPS)

Final score

80.04 of 100Reported as group

Quality

58.67

Promoting interoperability

98

Improvement activities

40

Cost

76.46

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Registered Pharmacist

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nmaksim1206863@direct.osumc.edu

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.

• Osup Community Outreach LLC

  • Neurology Physician
  • Dublin, OH
  • NPI 1699179929
  Medicare reassignment Care Compare group NPD
• Ohiohealth Corporation

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1578545273

  Internal Medicine

  Medicare reassignment NPD
• Ohiohealth Corporation

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Columbus, OH
  • NPI 1265627301
  NPD
• Ohiohealth Corporation

  • Anesthesiology Physician
  • Columbus, OH
  • NPI 1407292105
  NPD

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

• Madison County Community Hospital

  • General Acute Care Hospital
  • London, OH
  • NPI 1982710703
  Care Compare affiliation
• Ohio State University Hospitals

  • Rehabilitation Hospital Unit
  • Columbus, OH
  • NPI 1184723637
  Care Compare affiliation
• Ohio State University Hospitals

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1447359997
  Care Compare affiliation
• Ohio State University Hospitals

  • Psychiatric Hospital Unit
  • Columbus, OH
  • NPI 1790876183
  Care Compare affiliation
• Ohiohealth Corporation

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1972535052
  Care Compare affiliation

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1497968655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N MAIN STREET",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401115",
            "telephone_number": "740-845-7700",
            "fax_number": "740-845-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 S BURNETT ROAD",
            "address_2": "SUITE 120",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "45505",
            "telephone_number": "740-845-7700",
            "fax_number": "740-845-7701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "247 S Burnett Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455052639",
            "country_code": "US",
            "telephone_number": "740-845-7700",
            "fax_number": "740-845-7701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKSIM",
        "first_name": "NICHOLAS",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.O., R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2024-09-26",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "58-001639",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "34.009062",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "34009062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3147919",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmaksim54840@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "address_1": "5131 Beacon Hill Rd Ste 220B",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432284442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark Thomas Main, PT
• Jenna Mains
• Patricia A Mairet, MFT
• Mtanious Makhoul, MD
• Kelly Jo Makley, O.D.
• Christopher Malone, D.O.
• Monica L Malone, APRN, MSN, PMHNP
• Terrisue Jean Malone, LSW
• Rebecca E Malott, ACNP
• Jason Anthony Malucci, D.C.

• Interventional Cardiology Physician in Springfield, OH
• Providers in Springfield, OH by specialty
• Interventional Cardiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.