NPIMap

Organization Active NPI

Maryland Oncology Hematology, P.a.

  • Multi-Specialty Clinic/Center
  • Laurel, MD
National Provider Identifier
1821271032
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MARYLAND ONCOLOGY HEMATOLOGY, P.A.
Practice address
7350 Van Dusen Rd Ste 370
Laurel, MD 20707-5231
Phone
(301) 470-1001
Fax
(301) 470-1004
NPI assigned
Dec 11, 2007
Last updated
Jun 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Robert Davis
Title
Executive Director
Phone
(202) 909-3301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

7350 Van Dusen Rd Ste 370
Laurel, MD 20707-5231

Mailing address

11720 Beltsville Dr Ste 300
Beltsville, MD 20705-3119
Phone (240) 223-1893

Other identifiers 2

IdentifierTypeStateIssuer
DR6644OtherMDMEDICARE RAILROAD PTAN
215868OtherMDMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071016000305 DC Part B Supplier - Clinic/Group Practice 2062302102 Receives reassigned benefits from 95 practitioners
1 other NPI on this enrollment
Practice locations: Rockville, MD; Washington, DC; Silver Spring, MD; Olney, MD; Laurel, MD; Largo, MD; Lanham, MD; Hyattsville, MD…

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

8926 Woodyard Rd
Clinton, MD 20735
Phone (301) 719-1140

7350 Van Dusen Rd
Ste 370
Laurel, MD 20707
Phone (301) 982-9800

Practitioners & affiliated clinicians

Practitioners 101

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 101

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1821271032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11720 BELTSVILLE DR STE 300",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053119",
            "telephone_number": "240-223-1893",
            "fax_number": "301-326-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 VAN DUSEN RD STE 370",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075231",
            "telephone_number": "301-470-1001",
            "fax_number": "301-470-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND ONCOLOGY HEMATOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-909-3301"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN",
            "identifier": "DR6644",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "215868",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.