Individual provider Active NPI

Joel E Max, M.D.

  • Dermatology Physician
  • Timonium, MD
National Provider Identifier
1760431852
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D47019 Issued in MD
Practice address
101 W Ridgely Rd
Ste 4B
Timonium, MD 21093-5101
Phone
(410) 561-1960
Fax
(410) 560-3497
NPI assigned
May 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D47019 MD Primary

Addresses

Primary practice location

101 W Ridgely Rd
Ste 4B
Timonium, MD 21093-5101

Mailing address

101 W Ridgely Rd
Ste 4B
Timonium, MD 21093-5101
Phone (410) 561-1960

Other identifiers 4

IdentifierTypeStateIssuer
248900700MedicaidMD
KE39ROOtherMDBCBSMD
CI7619OtherMDRAILROAD MEDICARE
R270OtherMDBSDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20090219000341 MD Practitioner - Dermatology 8426113747 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Maryland School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robinson and Max Dermatology P.a.Group PAC ID 6901949254, 4 clinicians
Carroll Dermatology Associates, LLCGroup PAC ID 3870658198, 2 clinicians

Practice addresses (Care Compare)

101 W Ridgely Rd
Suite 4 B
Lutherville, MD 21093-5145
Phone (410) 561-1960

826 Washington Rd
Suite 122
Westminster, MD 21157-5779
Phone (410) 857-8333

Merit-based Incentive Payment System (MIPS)

Final score
81.32 of 100Reported as individual
Quality
66.03
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.51 of 100Reported as group
Quality
74.72
Promoting interoperability
100
Improvement activities
40
Cost
63.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision48
Removal of skin lesions2690
Removal or shaving of skin growth66
Skin biopsy152

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D47019MDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll Dermatology Associates, LLC Dermatology CurrentSince Jan 20, 2009 Accepting new patients
Robinson & Max Dermatology P.a. Dermatology CurrentSince May 21, 1998 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

101 W Ridgely Rd
Ste 4B
Timonium, MD 21093
Phone (410) 561-1960

826 Washington Rd
Ste 122
Westminster, MD 21157
Phone (410) 857-8333

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760431852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W RIDGELY RD",
            "address_2": "STE 4B",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210935101",
            "telephone_number": "410-561-1960",
            "fax_number": "410-560-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W RIDGELY RD",
            "address_2": "STE 4B",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210935101",
            "telephone_number": "410-561-1960",
            "fax_number": "410-560-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAX",
        "first_name": "JOEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D47019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "248900700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMD",
            "identifier": "KE39RO",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI7619",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSDC",
            "identifier": "R270",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

Verify at the official NPI Registry.