NPIMap

Organization Active NPI

Maryland Oncology Hematology

  • Hematology & Oncology Physician
  • Frederick, MD
National Provider Identifier
1982558904
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
MARYLAND ONCOLOGY HEMATOLOGY
Practice address
112 Thomas Johnson Dr Ste 250
Frederick, MD 21702-4972
Phone
(301) 695-6777
Fax
(301) 695-4852
NPI assigned
Feb 25, 2026
Last updated
Feb 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Kyle Black
Title
Managed Care Director
Phone
(610) 442-2026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X Primary

Addresses

Primary practice location

112 Thomas Johnson Dr Ste 250
Frederick, MD 21702-4972

Mailing address

11720 Beltsville Dr Ste 300
Beltsville, MD 20705-3119
Phone (240) 223-1869

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0932749Maryland Oncology Hematology112 Thomas Johnson Drive Suite 250, Frederick, MD 21702ComplianceJul 6, 2026

National Provider Directory

National Provider Directory
Tax ID family
Maryland Oncology Hematology PA38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1771977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1982558904",
    "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": "240-223-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 THOMAS JOHNSON DR STE 250",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024972",
            "telephone_number": "301-695-6777",
            "fax_number": "301-695-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND ONCOLOGY HEMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "MANAGED CARE DIRECTOR",
        "authorized_official_telephone_number": "610-442-2026"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.