Individual provider Active NPI

James Henry Lynch IV, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Annapolis, MD
National Provider Identifier
1750368379
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
D0090677 Issued in MD
Practice address
116 Defense Hwy Ste 203
Annapolis, MD 21401-7045
Phone
(410) 505-0530
NPI assigned
Dec 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X D0090677 MD Primary

Addresses

Primary practice location

116 Defense Hwy Ste 203
Annapolis, MD 21401-7045

Mailing address

116 Defense Hwy Ste 203
Annapolis, MD 21401-7045
Phone (410) 505-0530

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
I20210525000164 MD Practitioner - Sports Medicine 4486053477 Reassigns benefits to 1 organization
I20210622001496 DC Practitioner - Sports Medicine 4486053477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
65.74 of 100Reported as group
Quality
36.67
Improvement activities
40
Cost
70.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0090677MDMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
All Star Pain Management and Regenerative Medicine, LLC CurrentSince Oct 6, 2024 Accepting new patients
Regenerative Orthopedics and Sports Medicine, LLC CurrentSince May 1, 2021 Accepting new patients
Regenerative Orthopedics and Sports Medicine, LLC CurrentSince May 1, 2021 Accepting new patients

Locations

1145 19th St NW
Washington, DC 20036
Phone (202) 223-9040

166 Defense Hwy
Ste 300
Annapolis, MD 21401
Phone (443) 808-1808

116 Defense Hwy
Ste 201
Annapolis, MD 21401

4201 Northview Dr
Ste 502
Bowie, MD 20716
Phone (443) 808-1808

11300 Rockville Pike
Ste 615
Rockville, MD 20852
Phone (301) 881-7302

1760 Old Meadow Rd
Ste 220
Mc Lean, VA 22102
Phone (703) 783-3529

1760 Old Meadow Rd
Ste 210
McLean, VA 22102
Phone (703) 717-4264

Interoperability endpoints

  • Direct secure messaging: james.lynch@2963.securemail.prognocis.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.

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1750368379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 DEFENSE HWY STE 203",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017045",
            "telephone_number": "410-505-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 DEFENSE HWY STE 203",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017045",
            "telephone_number": "410-505-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "JAMES",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MD",
            "license": "D0090677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.