James Carroll Boyd, MD
Individual provider Active NPI Internal Medicine Physician · Leonardtown, MD
NPI 1699883140 · NPPES record last updated Sep 15, 2011
Key facts
- NPI
- 1699883140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- D19917 (MD)
- Practice address
- 41680 Miss Bessie Dr
Suite 301
Leonardtown, MD 20650-2906 - Phone
- (301) 997-0055
- Fax
- (301) 997-0066
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 25
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- George Washington University School of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Medstar Medical Group II LLC
Practice addresses (Care Compare)
1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440
23507 Hollywood Rd
Leonardtown, MD 20650-5833
Phone (240) 434-4070
23511 Hollywood Rd
Suite 2
Leonardtown, MD 20650-5833
Phone (301) 997-0611
29955 Three Notch Rd
100 MMG at Charlotte Hall
Charlotte Hall, MD 20622-3159
Phone (301) 290-5300
41680 Miss Bessie Dr
Leonardtown, MD 20650-2906
Phone (301) 997-0055
Hospital & facility affiliations
- Medstar Health Home Care
- Medstar Saint Mary'S Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.34 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.47
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100914001191 | MD | Practitioner - Internal Medicine | 4880695790 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D19917 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| Maryland Healthcare Associates LLC | Internal Medicine | Past | Accepting new patients |
| Medstar Medical Group II LLC | Internal Medicine | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Franklin Square Hospital Center, Inc. | Past | Accepting new patients |
Locations
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440
41680 Miss Bessie Dr
Leonardtown, MD 20650
Phone (301) 997-0055
40900 Merchants Ln
Leonardtown, MD 20650
Phone (301) 997-0322
41680 Miss Bessie Dr
Ste 301
Leonardtown, MD 20650
Phone (301) 997-0055
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D19917 | MD | Yes |
Addresses
Primary practice location
41680 Miss Bessie Dr
Suite 301
Leonardtown, MD 20650-2906
Mailing address
41680 Miss Bessie Dr
Suite 301
Leonardtown, MD 20650-2906
Phone (301) 997-0055
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252661100 | Medicaid | MD |
NPI Registry JSON
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1699883140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41680 MISS BESSIE DR",
"address_2": "SUITE 301",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206502906",
"telephone_number": "301-997-0055",
"fax_number": "301-997-0066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41680 MISS BESSIE DR",
"address_2": "SUITE 301",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206502906",
"telephone_number": "301-997-0055",
"fax_number": "301-997-0066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "JAMES",
"middle_name": "CARROLL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D19917",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252661100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leonardtown, MD
- Katelynn Bodiford
- Michael J Botticelli
- Alexes Wilson Boutin
- Molly Bowes
- Deborah Leann Bowler
- Stacia E. Brandenburg
- Lorrie Brennan
- Breton Bay Optical Shop, LLC
- Meenakshi Garg Brewster
- Margrett Ann Brooks
All providers in Leonardtown, MD · Internal Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.