Individual provider Active NPI

Steven Lee Maxwell, D.O

  • Critical Care Medicine (Internal Medicine) Physician
  • Morgantown, WV
National Provider Identifier
1679652986
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
1067 Issued in WV
Practice address
1000 Mon Health Medical Park Dr Ste 1102
Morgantown, WV 26505-1143
Phone
(304) 598-2801
Fax
(304) 599-6463
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1067 WV
Pulmonary Disease Physician 207RP1001X 1067 WV
Sleep Medicine (Internal Medicine) Physician 207RS0012X 1067 WV
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 1067 WV Primary

Addresses

Primary practice location

1000 Mon Health Medical Park Dr Ste 1102
Morgantown, WV 26505-1143

Mailing address

1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1200

Other practice location 1

1200 JD Anderson Drive
Morgantown, WV 26505
Phone (304) 598-1200

Other identifiers 1

IdentifierTypeStateIssuer
0074630000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20100319000003 WV Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 7517092257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1067WVMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Monongalia County General Hospital Company Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients
Internal Medicine Associates Pulmonary Disease CurrentSince Jan 20, 2003 Accepting new patients
Monongalia County General Hospital Company Past Accepting new patients
Amerirad Inc Past Accepting new patients

Locations

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

1000 Mon Health Medical Park Dr
Ste 1102
Morgantown, WV 26505

99 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-2291

1000 Mon Health Medical Park Dr
Ste 1100
Morgantown, WV 26505
Phone (304) 598-2200

600 Suncrest Town Centre Dr
Ste 310
Morgantown, WV 26505
Phone (304) 598-2200

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1679652986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 J D ANDERSON DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053494",
            "telephone_number": "304-598-1200",
            "fax_number": "304-598-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MON HEALTH MEDICAL PARK DR STE 1102",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051143",
            "telephone_number": "304-598-2801",
            "fax_number": "304-599-6463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 JD Anderson Drive",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "26505",
            "country_code": "US",
            "telephone_number": "304-598-1200",
            "fax_number": "304-599-6463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "STEVEN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "1067",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WV",
            "license": "1067",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "WV",
            "license": "1067",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WV",
            "license": "1067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074630000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.