Individual provider Active NPI

Norman G McKoy, MD

  • Family Medicine Physician
  • Mitchellville, MD
National Provider Identifier
1699840355
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0035947 Issued in MD
Practice address
10274 Lake Arbor Way
Suite 202
Mitchellville, MD 20721
Phone
(301) 336-9065
Fax
(301) 336-6909
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0035947 MD Primary

Addresses

Primary practice location

10274 Lake Arbor Way
Suite 202
Mitchellville, MD 20721

Mailing address

PO Box 2060
Bowie, MD 20718-2060
Phone (301) 336-9065

Other identifiers 1

IdentifierTypeStateIssuer
066001900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20081007000854 DC Practitioner - Family Practice 0648348300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3060 Mitchellville Rd
Suite 211
Bowie, MD 20716-3970
Phone (301) 390-0703

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Largo, MD, CCN 217149

Merit-based Incentive Payment System (MIPS)

Final score
31.72 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
85.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0035947MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norman G. McKoy MD & Associates PA Family Medicine CurrentSince Jun 1, 1994 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Metropolitan Cardiovascular PastSince Jun 1, 1994 Accepting new patients

Locations

3060 Mitchellville Rd
Ste 211
Bowie, MD 20716
Phone (301) 390-0703

10274 Lake Arbor Way
Ste 202
Mitchellville, MD 20721
Phone (301) 336-9065

Interoperability endpoints

  • Direct secure messaging: norman.mccoymd.p2@direct.msmg.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1699840355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2060",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207182060",
            "telephone_number": "301-336-9065",
            "fax_number": "301-336-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10274 LAKE ARBOR WAY",
            "address_2": "SUITE 202",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "20721",
            "telephone_number": "301-336-9065",
            "fax_number": "301-336-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKOY",
        "first_name": "NORMAN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0035947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066001900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchellville, MD

Sources for this page

Verify at the official NPI Registry.