Individual provider Active NPI

Adam Jordan Goldrich, MD

  • Hematology & Oncology Physician
  • Annapolis, MD
National Provider Identifier
1912292517
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
D85006 Issued in MD
Practice address
2003 Medical Pkwy Ste 210
Annapolis, MD 21401
Phone
(410) 573-5300
Fax
(410) 573-5305
NPI assigned
Jun 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Hematology & Oncology Physician 207RH0003X D85006 MD Primary

Addresses

Primary practice location

2003 Medical Pkwy Ste 210
Annapolis, MD 21401

Mailing address

PO Box 12622
Belfast, ME 04915-4017

Other identifiers 2

IdentifierTypeStateIssuer
517009500MedicaidMD
678322OtherMDMEDICARE

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
I20180712002298 MD Practitioner - Hematology/Oncology 9830482819 Reassigns benefits to 3 organizations
I20200923001745 DC Practitioner - Medical OncologyPractitioner - Hematology 9830482819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maryland Oncology Hematology PAGroup PAC ID 2062302102, 96 clinicians

Practice addresses (Care Compare)

10710 Charter Dr
Suite G020
Columbia, MD 21044-3257
Phone (410) 964-2218

11886 Healing Way
Silver Spring, MD 20904-7917
Phone (301) 933-3216

7350 Van Dusen Rd
Suite 370
Laurel, MD 20707-5231
Phone (301) 982-9800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.49 of 100Reported as individual
Quality
89.98
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.26 of 100Reported as group
Quality
81.56
Promoting interoperability
100
Improvement activities
40
Cost
69.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D85006MDMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Maryland Oncology Hematology P.a. CurrentSince Oct 23, 2020 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Maryland Oncology Hematology P.a. Hematology & Oncology CurrentSince Oct 23, 2020 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Aug 1, 2018 Accepting new patients
Maryland Oncology Hematology, P.a. Hematology & Oncology CurrentSince Oct 23, 2020 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Aug 1, 2018 Accepting new patients

Locations

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

2003 Medical Pkwy
Ste 210
Annapolis, MD 21401
Phone (410) 573-5300

810 Bestgate Rd
Ste 400
Annapolis, MD 21401
Phone (410) 897-6200

11720 Beltsville Dr
Ste 300
Beltsville, MD 20705

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

10710 Charter Dr
Ste G020
Columbia, MD 21044
Phone (410) 964-2212

509 Idlewild Ave
Easton, MD 21601
Phone (410) 820-6411

219 S Washington St
Easton, MD 21601

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

12200 Annapolis Rd
Ste 118
Glenn Dale, MD 20769
Phone (410) 897-6200

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

Interoperability endpoints

  • Direct secure messaging: adam.goldrich@mdonc.ikm.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1912292517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12622",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 MEDICAL PKWY STE 210",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "410-573-5300",
            "fax_number": "410-573-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDRICH",
        "first_name": "ADAM",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MD",
            "license": "D85006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "517009500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "678322",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.