Individual provider Active NPI

Keri N. Jacobs, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Chestertown, MD
National Provider Identifier
1104952308
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
D0071130 Issued in MD
Practice address
100 Brown St
Chestertown, MD 21620-1435
Phone
(410) 778-7668
Fax
(410) 778-7650
NPI assigned
Feb 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0071130 MD
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X D0071130 MD Primary

Addresses

Primary practice location

100 Brown St
Chestertown, MD 21620-1435

Mailing address

100 Brown St
Chestertown, MD 21620-1435
Phone (410) 778-7668

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
I20110223000189 MD Practitioner - Emergency MedicinePractitioner - Internal Medicine 7214118322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
University of Maryland School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone (443) 777-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as group
Quality
80.29
Promoting interoperability
100
Improvement activities
40
Cost
75.48

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
WHC Emerg Phys Emergency Medical Services CurrentSince Sep 10, 2014 Accepting new patients
Medstar Medical Group II LLC Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince Apr 1, 2025 Accepting new patients
WHC Physician Group LLC CurrentSince Sep 10, 2014 Accepting new patients

Locations

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

9101 Franklin Square Dr
Rosedale, MD 21237
Phone (443) 777-2000

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

11355 Pembrooke Sq
Ste 108
Waldorf, MD 20603
Phone (202) 877-6733

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": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1104952308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BROWN ST",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201435",
            "telephone_number": "410-778-7668",
            "fax_number": "410-778-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BROWN ST",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201435",
            "telephone_number": "410-778-7668",
            "fax_number": "410-778-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "KERI",
        "middle_name": "N.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-24",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0071130",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MD",
            "license": "D0071130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestertown, MD

Sources for this page

Verify at the official NPI Registry.