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MAX LOGAN DOUGHERTY MD, PHD
NPI 1164051637
Internal Medicine - Hematology in New York, NY

Active since April 06, 2020PECOS Enrolled
1470 MADISON AVE, NEW YORK, NY 10029(212) 241-6756 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2026, Apr 6, 2020 (2 updates tracked since 2020).

About Max Logan Dougherty Md, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAX LOGAN DOUGHERTY MD, PHD (NPI 1164051637) is an individual hematology provider in New York, New York, licensed in New York (320619) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of University Of Washington School Of Medicine (2021).

NPPES Registry Identity

NPI1164051637
Entity TypeIndividualMale
Primary Taxonomy207RH0000X
Provider Legal NameMAX LOGAN DOUGHERTYCredential: MD, PHD
Location Address1470 MADISON AVENew York, NY 10029-6542
Mailing Address1 Gustave L Levy PlNew York, NY 10029-6504
Phone(212) 241-6756
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2021
Enumeration DateApril 6, 2020
Last NPPES UpdateMay 21, 20262 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
✔ NPI 1164051637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License✔ Licensed in NY · 320619
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
1470 MADISON AVE, New York, NY 10029
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Secondary Practice Location 1

Location 117 E 102nd StNew York, NY 10029-5204 · Phone (212) 659-8551

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Max Logan Dougherty Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810467826
PECOS Enrollment IDI20260529003908
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. PATRICK SPENCER AGNP
Nurse Practitioner
1470 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
DR. EMRE ALTINMAKAS MD
Radiology (Diagnostic Radiology)
1470 MADISON AVE
NEW YORK, NY 10029
New York County (212) 824-8473
TOMI JUN
Internal Medicine
1470 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6756
MARGARET ANN SCHULTHEISS PA-C
Physician Assistant
1470 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-7873
MADELYNE GOLD
Physician Assistant
1470 MADISON AVE
NEW YORK, NY 10029
New York County (610) 755-5818
MARIANNE WIENTZEN GELBER NP
Nurse Practitioner (Gerontology)
1470 MADISON AVE
NEW YORK, NY 10029
New York County (212) 659-8552
RZA ABASOV PHARMD
Pharmacist
1470 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6756
DR. ZACHARY MOSHE AVIGAN MD
Internal Medicine (Medical Oncology)
1470 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6756

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Max Dougherty's NPI number?

The NPI number for Max Dougherty is 1164051637. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Max Dougherty located?

Max Dougherty practices at 1470 Madison Ave, New York, NY 10029. The listed phone number is (212) 241-6756.

What is Max Dougherty's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Max Dougherty enrolled in Medicare?

Yes. Max Dougherty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Max Dougherty was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.