Active NPI
David Kerwin Jacobs, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Lutherville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- D91262
- Practice address
- 1312 Bellona Ave Ste 302
Lutherville, MD 21093-5436 - Phone
- (410) 377-8900
- NPI assigned
- Apr 4, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | D91262 | MD | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | D91262 | MD |
Addresses
Primary practice location
1312 Bellona Ave Ste 302
Lutherville, MD 21093-5436
Mailing address
1312 Bellona Ave Ste 302
Lutherville, MD 21093-5436
Phone (410) 377-8900
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12 Newport Dr
Suite a
Forest Hill, MD 21050-1758
1312 Bellona Ave
Lutherville, MD 21093-5400
Phone (410) 377-8900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D91262 | MD | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Orthopaedic Associates of Central Maryland, PA | Pain Medicine | Past | Accepting new patients |
Locations
2700 Quarry Lake Dr
Ste 300
Baltimore, MD 21209
10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450
1312 Bellona Ave
Ste 302
Lutherville Timonium, MD 21093
Phone (301) 637-8712
4 Park Center Ct
Ste 102
Owings Mills, MD 21117
Phone (410) 377-3484
Interoperability endpoints
- 38djacobs@cfaortho.emadirect.md
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Olney, MD
- NPI 1487093167
-
- Physical Therapist
- Forest Hill, MD
- NPI 1578900668
-
- Orthopaedic Surgery Physician
- Annapolis, MD
- NPI 1457706897
-
- Orthopaedic Surgery Physician
- Gainesville, VA
- NPI 1063393833
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Orthopaedic Surgery Physician
- Columbia, MD
- NPI 1023269396
Pain Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1093178386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1312 BELLONA AVE STE 302",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210935436",
"telephone_number": "410-377-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 BELLONA AVE STE 302",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210935436",
"telephone_number": "410-377-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "DAVID",
"middle_name": "KERWIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-04",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "MD",
"license": "D91262",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MD",
"license": "D91262",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutherville, MD
- Insite Integrative Services, LLC
- International Neurorehabilitation Institute
- International Neurorehabilitation Institute
- Ebrahim Ipakchi, MD
- Jacqueline G Isola, CPNP
- Christina Maria Jaimes, DPT
- Janice C. C. Lepore, Psy.D., and Associates, LLC
- Akira Shian Jarrett
- Erin Jedlanek, MS, CCC-SLP
- Latai Camile Jenkins, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.