Maximilian Badoy, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D0057720 Issued in MD

Practice address

13215 Brook Lane
Hagerstown, MD 21742-1514

Phone

(301) 733-0330

Fax

(301) 733-4038

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Comptroller of Maryland Central Payroll Bureau

  • Psychiatric Hospital
  • Cambridge, MD
  • NPI 1841281680
  Medicare reassignment NPD
• Tidalhealth Specialty Care, LLC

  • Medical Specialty Clinic/Center
  • Salisbury, MD
  • NPI 1619504735
  Medicare reassignment NPD
• Brook Lane Behavioral Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hagerstown, MD
  • NPI 1417928151
  Medicare reassignment
• Comptroller of Maryland Central Payroll Bureau

  • Psychiatric Hospital Unit
  • Catonsville, MD
  • NPI 1962493403
  NPD
• State of Maryland Central Payroll Bureau

  • Skilled Nursing Facility
  • Charlotte Hall, MD
  • NPI 1356032734
  NPD
• Bay Life Services Corporation

  • Mental Health Counselor
  • Baltimore, MD
  • NPI 1437262680
  NPD (past)
• Bay Life Services Corporation

  • Air Ambulance
  • Lanham, MD
  • NPI 1578319737
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Medstar Franklin Square Physicians LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1538582945
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1902954902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13121 BROOK LANE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21742",
            "telephone_number": "301-733-0330",
            "fax_number": "301-733-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13215 BROOK LANE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421514",
            "telephone_number": "301-733-0330",
            "fax_number": "301-733-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADOY",
        "first_name": "MAXIMILIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0057720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saba Wasim Aziz, M.D.
• Fahima Azizi, M.D.
• Jennifer Bacher, PHYSICIAN ASSISTANT
• Douglas Allen Bachtell II, DDS
• Allan Thomson Bacon III, DDS
• Rhamee Badr, MD
• Megan Baer, PHYSICAL THERAPY
• Muna A Bahsali, CRNP
• Deanna Bailey, NCAC II, SAP, CAC-AD
• Michaella Bailey, LPC

• Psychiatry Physician in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.