Active NPI
John M Wallmark, M.D.
- Hematology & Oncology Physician
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- D0053177
- Practice address
- 9707 Medical Center Dr
Suite 300
Rockville, MD 20850-3348 - Phone
- (301) 424-6231
- Fax
- (301) 294-4648
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | D0053177 | MD | Primary |
Addresses
Primary practice location
9707 Medical Center Dr
Suite 300
Rockville, MD 20850-3348
Mailing address
9707 Medical Center Dr
Suite 300
Rockville, MD 20850-3348
Phone (301) 424-6231
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40453510 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Hahnemann University College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10710 Charter Dr
Suite G020
Columbia, MD 21044-3257
Phone (410) 964-2218
11886 Healing Way
Silver Spring, MD 20904-7917
Phone (301) 933-3216
6420 Rockledge Dr
Suite 4200
Bethesda, MD 20817-7847
Phone (301) 929-0765
7350 Van Dusen Rd
Suite 370
Laurel, MD 20707-5231
Phone (301) 982-9800
9905 Medical Ctr Dr
Rockville, MD 20850-6535
Hospital & facility affiliations
- Adventist Home Health Services, Inc.
- Adventist Healthcare Shady Grove Medical Center
- Suburban Hospital
- Holy Cross Germantown Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.47 of 100
- Quality
- 92.07
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0053177 | MD | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Oncology Hematology, P.a. | Hematology & Oncology | Current | Accepting new patients |
| Maryland Oncology Hematology P.a. | Current | Accepting new patients | |
| Maryland Oncology Hematology P.a. | Hematology & Oncology | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
11720 Beltsville Dr
Ste 300
Beltsville, MD 20705
6420 Rockledge Dr
Ste 4200
Bethesda, MD 20817
Phone (301) 564-5000
10710 Charter Dr
Ste G020
Columbia, MD 21044
Phone (410) 964-2212
20330 Seneca Meadows Pkwy
Ste B
Germantown, MD 20876
12200 Annapolis Rd
Ste 118
Glenn Dale, MD 20769
Phone (410) 897-6200
7350 Van Dusen Rd
Ste 370
Laurel, MD 20707
Phone (301) 982-9800
9905 Medical Center Dr
Ste 200
Rockville, MD 20850
Phone (301) 424-6231
Interoperability endpoints
- john.wallmark@mdonc.ikm.direct-ci.com
- jwallmark158723@direct.hopkinsmedicine.org
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.
-
- Hematology & Oncology Physician
- Columbia, MD
- NPI 1396710703
-
- Multi-Specialty Clinic/Center
- Laurel, MD
- NPI 1821271032
DC, Hematology & Oncology
-
- Non-Pharmacy Dispensing Site
- Silver Spring, MD
- NPI 1336693431
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Silver Spring, MD
- NPI 1598826448
-
- General Acute Care Hospital
- Rockville, MD
- NPI 1568468221
-
- General Acute Care Hospital
- Germantown, MD
- NPI 1245655638
-
- General Acute Care Hospital
- Bethesda, MD
- NPI 1205896446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343779200000",
"number": "1689755365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9707 MEDICAL CENTER DR",
"address_2": "SUITE 300",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503348",
"telephone_number": "301-424-6231",
"fax_number": "301-294-4648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9707 MEDICAL CENTER DR",
"address_2": "SUITE 300",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503348",
"telephone_number": "301-424-6231",
"fax_number": "301-294-4648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLMARK",
"first_name": "JOHN",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2012-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MD",
"license": "D0053177",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40453510",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.