Individual provider Active NPI

Jeremy A Greene, M.D., PH.D.

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1013052695
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
233980 Issued in MA
Practice address
1000 E Eager St
Baltimore, MD 21202-5533
Phone
(410) 522-9800
NPI assigned
Feb 21, 2007
Last updated
Aug 30, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 233980 MA Primary

Addresses

Primary practice location

1000 E Eager St
Baltimore, MD 21202-5533

Mailing address

8 St Johns Rd
Baltimore, MD 21210-2122
Phone (617) 359-3546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20121018000461 MD Practitioner - Internal Medicine 9436224318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Harvard Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baltimore Medical System, Inc.Group PAC ID 5395653455, 86 clinicians

Practice addresses (Care Compare)

5525 Eastern Ave
Baltimore, MD 21224-2796
Phone (410) 558-4804

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233980MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians Internal Medicine CurrentSince Sep 10, 2012 Accepting new patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince Sep 10, 2012 Accepting new patients

Locations

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

600 N Wolfe St
Baltimore, MD 21287

Interoperability endpoints

  • Direct secure messaging: jgreene42271@direct.hopkinsmedicine.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1013052695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ST JOHNS RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102122",
            "telephone_number": "617-359-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E EAGER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212025533",
            "telephone_number": "410-522-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "JEREMY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "233980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.