Active NPI
Jennifer Eitingon, M.D.
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- D94118
- Practice address
- 600 N Wolfe St
Baltimore, MD 21287-0005 - Phone
- (410) 955-8305
- Fax
- (410) 955-2098
- NPI assigned
- Apr 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MED-RES-LIC-67461 | MT | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | D94118 | MD | Primary |
Addresses
Primary practice location
600 N Wolfe St
Baltimore, MD 21287-0005
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-6423
Other practice location 1
4802 10th Avenue
Maimonides Medical Center
Brooklyn, NY 11219
Phone (718) 283-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220618000014 | MD | Practitioner - Hospice/Palliative Care | 7012263163 | Reassigns benefits to 2 organizations |
| I20260302001745 | SD | Practitioner - Hospice/Palliative Care | 7012263163 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hospice/Palliative Care
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Monument Health Rapid City Hospital Inc
Practice addresses (Care Compare)
353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-8109
Hospital & facility affiliations
- Monument Health Home Plus Hospice
- Monument Health Home Plus Hospice
- Monument Health Rapid City Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-RES-LIC-67461 | MT | MD | Internal Medicine Physician |
| D94118 | MD | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gilchrist Hospice Care, Inc. | Hospice and Palliative Medicine | Current | Accepting new patients |
| Gilchrist Hospice Care, Inc. | Hospice and Palliative Medicine | Current | Accepting new patients |
| Upmc Western Maryland Health Services, LLC | Internal Medicine | Current | Accepting new patients |
| Upmc Western Maryland Health Services, LLC | Current | Accepting new patients | |
| Upmc Western Maryland Health Services, LLC | Internal Medicine | Current | Accepting new patients |
| Monument Health Rapid City Hospital Inc | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Upmc Western Maryland Corporation | Internal Medicine | Past | Accepting new patients |
| Monument Health Rapid City Hospital, Inc. | Past | Accepting new patients |
Locations
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
12502 Willowbrook Rd
Ste 280
Cumberland, MD 21502
Phone (240) 964-8750
6701 N Charles St
Ste 4105
Towson, MD 21204
Phone (443) 849-3184
353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000
640 Flormann St
Rapid City, SD 57701
Phone (605) 341-3140
Interoperability endpoints
- jeitingon842022@direct.hopkinsmedicine.org
Organizations & group practices 12
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.
-
- Multi-Specialty Clinic/Center
- Rapid City, SD
- NPI 1275553463
SD
-
- Geriatric Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1871069799
Hospice and Palliative Medicine, MD
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1447976584
Internal Medicine, MD
-
- General Acute Care Hospital
- Rapid City, SD
- NPI 1437122009
-
- Medical Specialty Clinic/Center
- Rapid City, SD
- NPI 1700537933
-
- Rural Health Clinic/Center
- Wall, SD
- NPI 1457730673
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham Seabrook, MD
- NPI 1588412241
Hospice and Palliative Medicine
-
- Urgent Care Clinic/Center
- MC Henry, MD
- NPI 1013696491
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1134844764
Internal Medicine
-
- Urgent Care Clinic/Center
- Rapid City, SD
- NPI 1215727854
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1184769952
Internal Medicine
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Rapid City, SD
- NPI 1437531571
Hospital
-
- Urgent Care Clinic/Center
- Rapid City, SD
- NPI 1376922591
Hospital
-
- Family Medicine Physician
- Rapid City, SD
- NPI 1386022960
Hospital
-
- General Acute Care Hospital
- Rapid City, SD
- NPI 1437122009
Hospital
-
- General Acute Care Hospital
- Rapid City, SD
- NPI 1689052862
Hospital
-
- Urgent Care Clinic/Center
- Rapid City, SD
- NPI 1730568957
Hospital
-
- General Acute Care Hospital
- Rapid City, SD
- NPI 1750663068
Hospital
-
- General Acute Care Hospital
- Rapid City, SD
- NPI 1770982480
Hospital
-
- Psychiatric Hospital Unit
- Rapid City, SD
- NPI 1861469587
Hospital
-
- General Acute Care Hospital
- Rapid City, SD
- NPI 1962198085
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1013440486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENLEIGH AVE",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212202004",
"telephone_number": "410-933-6423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N WOLFE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870005",
"telephone_number": "410-955-8305",
"fax_number": "410-955-2098"
}
],
"practiceLocations": [
{
"address_1": "4802 10th Avenue",
"address_2": "Maimonides Medical Center",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "11219",
"country_code": "US",
"telephone_number": "718-283-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EITINGON",
"first_name": "JENNIFER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-04",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MT",
"license": "MED-RES-LIC-67461",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "MD",
"license": "D94118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.