Individual provider Active NPI

Jonathan Ira Epstein, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Baltimore, MD
National Provider Identifier
1093749574
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
D30837 Issued in MD
Practice address
600 N Wolfe St
Baltimore, MD 21287-0005
Phone
(410) 955-2660
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X D30837 MD Primary

Addresses

Primary practice location

600 N Wolfe St
Baltimore, MD 21287-0005

Mailing address

PO Box 64478
Baltimore, MD 21264-4478
Phone (410) 614-6330

Other identifiers 1

IdentifierTypeStateIssuer
351031000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, NY, OH4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20100719000687 MD Practitioner - Pathology 2264564731 Reassigns benefits to 1 organization
I20170530000722 DC Practitioner - Pathology 2264564731 Reassigns benefits to 1 organization
I20240806000589 NY Practitioner - Pathology 2264564731 Reassigns benefits to 1 organization
I20250925004181 OH Practitioner - Pathology 2264564731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Medical Professionals PLLCGroup PAC ID 6406868462, 91 clinicians

Practice addresses (Care Compare)

700 Stewart Ave
Suite 101
Garden City, NY 11530-4721
Phone (516) 280-7930

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
75.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D30837MDMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 1995 Accepting new patients
Integrated Medical Professionals PLLC Anatomic Pathology & Clinical Pathology CurrentSince Aug 5, 2024 Accepting new patients
Tri State Urologic Services PSC Inc Current Accepting new patients
Johns Hopkins University CurrentSince Jan 1, 1995 Accepting new patients
Tri State Urologic Services PSC Inc CurrentSince Sep 2, 2025 Accepting new patients
Johns Hopkins University CurrentSince Apr 1, 2017 Accepting new patients
Tri State Urologic Services PSC Inc CurrentSince Sep 2, 2025 Accepting new patients
Integrated Medical Professionals PLLC CurrentSince Aug 5, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

600 N Wolfe St
Baltimore, MD 21287

8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

340 Broadhollow Rd
Farmingdale, NY 11735
Phone (516) 931-0041

700 Stewart Ave
Ste 101
Garden City, NY 11530
Phone (516) 280-7930

1 Hollow Ln
Ste 206
New Hyde Park, NY 11042
Phone (516) 931-0041

4100 Duff Pl
#A
Seaford, NY 11783
Phone (516) 520-8080

4360 Ferguson Dr
Ste 100
Cincinnati, OH 45245
Phone (513) 841-7750

2000 Joseph E Sanker Blvd
Norwood, OH 45212
Phone (513) 841-7400

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1093749574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64478",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644478",
            "telephone_number": "410-614-6330"
        },
        {
            "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": "410-955-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPSTEIN",
        "first_name": "JONATHAN",
        "middle_name": "IRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MD",
            "license": "D30837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351031000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.