Individual provider Active NPI

Jagmeet Kaur, MD

  • Internal Medicine Physician
  • Rockville, MD
National Provider Identifier
1114296787
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0074914 Issued in MD
Practice address
15005 Shady Grove Rd
#310
Rockville, MD 20850-6321
Phone
(301) 279-7300
NPI assigned
Dec 27, 2011
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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 D0074914 MD Primary

Addresses

Primary practice location

15005 Shady Grove Rd
#310
Rockville, MD 20850-6321

Mailing address

3546 Worthington Blvd Unit 301
Frederick, MD 21704-7126
Phone (301) 979-9772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20140912001100 DC Practitioner - Internal Medicine 6204055874
I20250714003769 MD Practitioner - Internal Medicine 6204055874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Primary Care LLCGroup PAC ID 3476068354, 2 clinicians

Practice addresses (Care Compare)

3546 Worthington Blvd
Unit 301
Frederick, MD 21704-7126
Phone (301) 979-9772

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Primary Care LLC Internal Medicine CurrentSince Apr 14, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Urbana Primary Care LLC Internal Medicine PastSince Apr 14, 2025 Accepting new patients

Locations

10421 Motor City Dr
Bethesda, MD 20817

3546 Worthington Blvd
Unit 301
Urbana, MD 21704
Phone (301) 979-9772

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1114296787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3546 WORTHINGTON BLVD UNIT 301",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047126",
            "telephone_number": "301-979-9772",
            "fax_number": "301-355-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15005 SHADY GROVE RD",
            "address_2": "#310",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506321",
            "telephone_number": "301-279-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "JAGMEET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-27",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0074914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.