Individual provider Active NPI

John Patrick Collins, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Clarksville, MD
National Provider Identifier
1821063165
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
H0044649 Issued in MD
Practice address
5005 Signal Bell LN
Suite 208
Clarksville, MD 21029-2606
Phone
(443) 535-9900
Fax
(443) 535-9901
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X H0044649 MD Primary

Addresses

Primary practice location

5005 Signal Bell LN
Suite 208
Clarksville, MD 21029-2606

Mailing address

5005 Signal Bell LN
Suite 208
Clarksville, MD 21029-2606
Phone (443) 535-9900

Other identifiers 1

IdentifierTypeStateIssuer
043911800MedicaidMD

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
I20100823000151 MD Practitioner - Physical Medicine and Rehabilitation 6305971045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Philadelphia College of Osteopathic Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Collins and Twigg PCGroup PAC ID 7315072055, 2 clinicians

Practice addresses (Care Compare)

5005 Signal Bell LN
Suite 208
Clarksville, MD 21029-2608
Phone (443) 535-9900

Merit-based Incentive Payment System (MIPS)

Final score
53.01 of 100Reported as group
Quality
0
Improvement activities
40
Cost
76.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0044649MDMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Spine and Sports Surgi-Center, L.L.C. CurrentSince Nov 12, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1821063165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 SIGNAL BELL LN",
            "address_2": "SUITE 208",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210292606",
            "telephone_number": "443-535-9900",
            "fax_number": "443-535-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 SIGNAL BELL LN",
            "address_2": "SUITE 208",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210292606",
            "telephone_number": "443-535-9900",
            "fax_number": "443-535-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "H0044649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043911800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, MD

Sources for this page

Verify at the official NPI Registry.