Individual provider Active NPI

David Glen Taylor, MD

  • Vascular & Interventional Radiology Physician
  • Baltimore, MD
National Provider Identifier
1568524767
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MT186082 Issued in PA
Practice address
22 S Greene St
G2K14
Baltimore, MD 21201-1544
Phone
(410) 328-3631
NPI assigned
Dec 14, 2006
Last updated
Mar 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MT186082 PA
Vascular & Interventional Radiology Physician 2085R0204X MT186082 PA Primary

Addresses

Primary practice location

22 S Greene St
G2K14
Baltimore, MD 21201-1544

Mailing address

22 S Greene St
G2K14
Baltimore, MD 21201-1544
Phone (410) 328-3631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130711000637 MD Practitioner - Diagnostic Radiology 9234379421 Reassigns benefits to 1 organization
I20220707002041 DC Practitioner - Diagnostic Radiology 9234379421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albert Einstein College of Medicine of Yeshiva University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14999 Health Ctr Dr
Suite 102
Bowie, MD 20716-1075
Phone (888) 601-0943

75 Thomas Johnson Dr
Suite F
Frederick, MD 21702-4895
Phone (888) 601-0943

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT186082PAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Radiology Associates Inc Diagnostic Radiology CurrentSince Jun 27, 2022 Accepting new patients
University of Maryland Diagnostic Radiology, LLC Diagnostic Radiology Current Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology PastSince Nov 17, 2024 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology PastSince Nov 17, 2024 Accepting new patients

Locations

27424 Network Pl
Chicago, IL 60673

14999 Health Center Dr
Ste 102
Bowie, MD 20716
Phone (301) 438-5150

75 Thomas Johnson Dr
Ste F
Frederick, MD 21702
Phone (301) 631-3674

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

19851 Observation Dr
Ste 155
Germantown, MD 20876

20528 Boland Farm Rd
Ste 110
Germantown, MD 20876
Phone (301) 428-2884

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1568524767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "address_2": "G2K14",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "address_2": "G2K14",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DAVID",
        "middle_name": "GLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MT186082",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MT186082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.