Individual provider Active NPI

Joseph McKelvey, PA-C

  • Physician Assistant
  • Germantown, MD
National Provider Identifier
1962872333
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0005952 Issued in MD
Practice address
20528 Boland Farm Rd
Suite 104
Germantown, MD 20876-4021
Phone
(301) 972-0400
NPI assigned
Sep 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0005952 MD Primary

Addresses

Primary practice location

20528 Boland Farm Rd
Suite 104
Germantown, MD 20876-4021

Mailing address

20528 Boland Farm Rd
Suite 104
Germantown, MD 20876-4021
Phone (301) 972-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190716002973 DC Practitioner - Physician Assistant 7517263007 Reassigns benefits to 1 organization
I20231217000008 MD Practitioner - Physician Assistant 7517263007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

14207 Park Ctr Dr
Suite 102
Laurel, MD 20707-5255
Phone (301) 604-5254

6000 Executive Blvd
Suite 625
North Bethesda, MD 20852-3877
Phone (240) 314-7080

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Gaithersburg, MD, CCN 217158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0005952MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians CurrentSince Nov 8, 2023 Accepting new patients
Johns Hopkins Community Physicians, Inc. CurrentSince Nov 8, 2023 Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Nov 8, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Family Healthcare, P.C. PastSince Apr 18, 2013 Accepting new patients

Locations

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

Interoperability endpoints

  • Direct secure messaging: jmckelvey1166486@direct.hopkinsmedicine.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1962872333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20528 BOLAND FARM RD",
            "address_2": "SUITE 104",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764021",
            "telephone_number": "301-972-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20528 BOLAND FARM RD",
            "address_2": "SUITE 104",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764021",
            "telephone_number": "301-972-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKELVEY",
        "first_name": "JOSEPH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0005952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.