Individual provider Active NPI

John Michael Joly, MD

  • Orthopaedic Surgery Physician
  • Lanham, MD
National Provider Identifier
1992790356
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D0028936 Issued in MD
Practice address
8116 Good Luck Rd Ste 200
Lanham, MD 20706-3508
Phone
(301) 599-9500
Fax
(301) 552-7483
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X MD18198 DC
Orthopaedic Surgery Physician 207X00000X D0028936 MD Primary

Addresses

Primary practice location

8116 Good Luck Rd Ste 200
Lanham, MD 20706-3508

Mailing address

7404 Executive PL Ste 350
Lanham, MD 20706-6268
Phone (301) 599-9500

Other identifiers 1

IdentifierTypeStateIssuer
58441000MedicaidMD

Other names 1

  • Michael Joly Professional name

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090311000201 DC Practitioner - Orthopedic SurgeryPractitioner - Interventional Pain Management 3678463205 Reassigns benefits to 1 organization
I20200708003430 MD Practitioner - Orthopedic SurgeryPractitioner - Interventional Pain Management 3678463205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.45 of 100Reported as group
Quality
67.28
Promoting interoperability
98
Improvement activities
40
Cost
72.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0028936MDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 1, 2020 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 1, 2020 Accepting new patients
Capital Surgery Center LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Jun 2, 2020 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Capital Orthopaedic Specialists LLC Orthopaedic Surgery Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2001 Medical Pkwy
Ofc
Annapolis, MD 21401
Phone (443) 481-1091

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

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

4000 Mitchellville Rd
Ste B116
Bowie, MD 20716
Phone (301) 464-4503

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

9135 Piscataway Rd
Ste 300
Clinton, MD 20735
Phone (301) 599-1000

2191 Defense Hwy
Ste 201
Crofton, MD 21114
Phone (410) 451-9091

8116 Good Luck Rd
Ste 200
Lanham, MD 20706
Phone (301) 552-4131

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1992790356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7404 EXECUTIVE PL STE 350",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066268",
            "telephone_number": "301-599-9500",
            "fax_number": "240-542-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8116 GOOD LUCK RD STE 200",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063508",
            "telephone_number": "301-599-9500",
            "fax_number": "301-552-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLY",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "DC",
            "license": "MD18198",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0028936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58441000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "JOLY",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.