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Cardiology Credentialing in Maryland

Maryland 90-120 days Last reviewed September 2026

Cardiology credentialing in Maryland is shaped by the state's world-class academic cardiac centers at Johns Hopkins Hospital, the University of Maryland Medical Center, and MedStar Washington Hospital Center. Hospital credentialing at these systems involves comprehensive peer review and can take 90 days or more. CareFirst BlueCross BlueShield and Aetna require ABIM cardiovascular disease certification and subspecialty verification for procedural cardiologists. Maryland Medical Assistance managed care covers cardiology services, and MCO enrollment is required for Medicaid patient access. Maryland's HSCRC rate-setting environment affects hospital billing but not physician credentialing timelines. The state's federal employee and military populations near Fort Meade and Aberdeen Proving Ground create TRICARE and FEHB cardiac demand. Medicare processes through Novitas Solutions for Maryland cardiologists. Arctic Health coordinates all Maryland cardiology credentialing tracks simultaneously.

Maryland Medical Board

Phone
(410) 764-4777

Cardiology Requirements in Maryland

ABIM board certification in cardiovascular disease
Maryland Board of Physicians license
Hospital privilege letters from cardiac procedure facilities
Novitas Medicare enrollment for Maryland

Estimated Timeline

90-120 days
For Cardiology providers in Maryland

Top Payers for Cardiology in Maryland

CareFirst BlueCross BlueShield Medicare (Novitas Solutions) Aetna UnitedHealthcare Priority Partners (Maryland Medicaid)

Frequently Asked Questions

How long does hospital credentialing take at Johns Hopkins or University of Maryland?

Major Maryland academic medical systems typically complete physician credentialing in 60-90 days. We initiate hospital credentialing simultaneously with payer applications to minimize total time-to-practice.

Which Medicare contractor handles Maryland cardiology enrollment?

Novitas Solutions is the MAC for Maryland. PECOS enrollment should be submitted to Novitas concurrently with commercial payer applications.

Cardiology in Other States

Reviewed by Arctic Health Team , Credentialing Specialists

Last reviewed: September 2026

Information on this page reflects our experience as of September 2026. Credentialing requirements, payer processes, and state regulations may change. Contact us or check the relevant state medical board and payer websites for the most current requirements. This content is for informational purposes only and does not constitute legal or professional advice.

Get Help Credentialing Cardiology in Maryland

Our specialists handle the unique requirements for credentialing cardiology in maryland.

Call (650) 955-1955