1. Question 1: This field contains your physician's license
number and your name.
2. Question 2: Enter
the NPI number assigned to you individually.
If you do not have an NPI, mark that option.
3. Question 3: Email address is vital
for communication between you and the Board. Having
a current and accurate email address allows the Board to maintain real-time
communications with you. This email address is confidential, for Board use only, and will not be shared or disclosed, except in accordance with compulsory process as defined in Section 4-306 of the Health-General Article.
4. Question 4: Enter changes to your home and/or your
public address. You are required
to provide a home address. The home address is confidential and is used by the Board to correspond with you.
If you provide only a non-public address, this address will also be made
available to the public.
5. Question 5: You must answer all parts of question 5,
regarding character and fitness. If you answer "yes" to any question, you must
enter an explanation at the prompt.
6. Question 6: Continuing Medical Education
7. Questions 7-10 relate to your personal and professional information
8. Questions 11-16 relate to your practice.
9. Question 17: Physician Emergency Contact Information: As part of Maryland's emergency
preparedness efforts, the Department of Health has identified
the need for contact information on licensed physicians in Maryland. Please
include this information on the page headed "Physician Emergency Contact
Information." (Public Safety Article, Section 14-3A-01 et seq. and Health
General Article, §18-901 et seq. set forth the powers of the Governor and
Secretary of the Department of Health.)
10. Question 18: Certification and Authorization:
By checking boxes a, b, c, and d, you are certifying and affirming your renewal
application.
11. Question 19: Enter your electronic signature, including your
name (as shown on your physician license) and the last 4 digits of your Social
Security Number. Your license will not be renewed unless all questions are
answered and the renewal application has been electronically signed.
12. Question 20: Enter credit card information. You will need to complete all of the information on the drop-down form.
13. Once you enter a payment and press submit, you will
see a screen confirming completion of the renewal and providing a Certificate of
Completion, Payment Receipt, and the ability to download a copy of your license.
Additional Information for
Physicians
Options Available to Physicians with Active Licenses
- Inactive Status: If you do not plan to practice medicine in Maryland
after September 30,
2024, but wish to place your license on "Inactive Status", you may apply
for inactive status during the renewal period. You can obtain an inactive status application
from the Board's website at Inactive Status Application. Complete the
application and submit it, with a check or money order for $50 payable to the Maryland
Board of Physicians before your license expires. Applications submitted after September 30, 2018 for "inactive status" will not be accepted by the Board. You may
not practice medicine, prescribe medication, or conduct peer reviews of other physicians
if your license status is inactive. If you wish to practice in Maryland in the future,
you will be required to reinstate your license.
- Voluntary non-renewal of license: If you will not be practicing
medicine at all after September 30, 2024, you may elect not to renew your
license. If you do not want to renew your license, you do not need to do
anything with this renewal application. If you wish to practice in Maryland in
the future, you will be required to reinstate your license.
- Exemption from license fee: If you will
be providing medical services to patients without personal remuneration, will
not be engaged in the private practice of medicine, and will not write
prescriptions for yourself, your family, or your friends, you may qualify for
exemption from license fee. You must obtain an Exemption from Licensee Fee (Volunteer) and follow the directions
on that form.