Individual provider Active NPI

Jeffrey Metts, MD

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1073565529
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0094565 Issued in FL
Practice address
716 Maiden Choice LN
101
Baltimore, MD 21228-5943
Phone
(410) 747-4080
Fax
(410) 747-4508
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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 ME0094565 FL Primary

Addresses

Primary practice location

716 Maiden Choice LN
101
Baltimore, MD 21228-5943

Mailing address

716 Maiden Choice LN
101
Baltimore, MD 21228-5943
Phone (410) 747-4080

Other identifiers 1

IdentifierTypeStateIssuer
274366300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20121112000062 GA Practitioner - Internal Medicine 6507889789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Florida College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of Hope Medical Group of Georgia LLCGroup PAC ID 4880841212, 137 clinicians

Practice addresses (Care Compare)

600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone (770) 400-6080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.74 of 100Reported as group
Quality
63.81
Promoting interoperability
100
Improvement activities
40
Cost
57.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0094565FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Georgia LLC Internal Medicine CurrentSince Sep 24, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Sacred Heart Health System, Inc. Past Accepting new patients
St Agnes Healthcare Inc Past Accepting new patients

Locations

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

62742 Collections Ctr Dr
Chicago, IL 60693

Interoperability endpoints

  • Direct secure messaging: jmetts145546@cityofhope.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1073565529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 MAIDEN CHOICE LN",
            "address_2": "101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212285943",
            "telephone_number": "410-747-4080",
            "fax_number": "410-747-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 MAIDEN CHOICE LN",
            "address_2": "101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212285943",
            "telephone_number": "410-747-4080",
            "fax_number": "410-747-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METTS",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0094565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274366300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.