Individual provider Active NPI

Jugal Kaushik Shah, M.D.

  • Neurological Surgery Physician
  • Baltimore, MD
National Provider Identifier
1124439237
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
D0091443 Issued in MD
Practice address
9103 Franklin Square Dr Ste 301
Baltimore, MD 21237-3939
Phone
(443) 777-8807
NPI assigned
May 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X D0091443 MD Primary

Addresses

Primary practice location

9103 Franklin Square Dr Ste 301
Baltimore, MD 21237-3939

Mailing address

9103 Franklin Square Dr Ste 301
Baltimore, MD 21237-3939
Phone (443) 777-8807

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
I20210831000203 MD Practitioner - Neurosurgery 8921348780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440

201 E University Pkwy
Baltimore, MD 21218-2829
Phone (410) 554-2000

2900 S Hanover St
Medstar Harbor Orthopaedics
Baltimore, MD 21225-1232
Phone (410) 350-2663

3001 S Hanover St
Baltimore, MD 21225-1233

3304 Guilford Ave
Baltimore, MD 21218-2829
Phone (410) 554-6740

5601 Lloch Raven Blvd
Baltimore, MD 21239-2945
Phone (410) 581-1200

5601 Loch Raven Blvd Russel
Ste2
Baltimore, MD 21239-2945
Phone (443) 444-5600

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

9103 Franklin Square Dr
Baltimore, MD 21237-3900
Phone (443) 777-2663

9501 Old Annapolis Rd
Suite 220
Ellicott City, MD 21042-6332
Phone (410) 772-2000

Hospital & facility affiliations

  • Medstar Health Home Care Home health agency, Baltimore, MD, CCN 217068
  • Medstar Franklin Square Medical Center Hospital, Rosedale, MD, CCN 210015
  • Medstar Union Memorial Hospital Hospital, Baltimore, MD, CCN 210024
  • Medstar Harbor Hospital Hospital, Baltimore, MD, CCN 210034
  • Medstar Good Samaritan Hospital Hospital, Baltimore, MD, CCN 210056

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion59
Laminectomy or laminotomy (partial removal of spine bones)37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0091443MDMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2023 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients
Franklin Square Hospital Center, Inc Past Accepting new patients

Locations

2900 S Hanover St
Brooklyn, MD 21225
Phone (410) 350-8300

9501 Old Annapolis Rd
Ste 220
Ellicott City, MD 21042
Phone (410) 772-2000

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

9103 Franklin Square Dr
Rosedale, MD 21237
Phone (443) 777-7147

9103 Franklin Square Dr
Ste 301
Rosedale, MD 21237
Phone (443) 777-6540

2000 15th St N
Ste 600
Arlington, VA 22201
Phone (202) 425-0000

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 5

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": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1124439237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9103 FRANKLIN SQUARE DR STE 301",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373939",
            "telephone_number": "443-777-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9103 FRANKLIN SQUARE DR STE 301",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373939",
            "telephone_number": "443-777-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JUGAL",
        "middle_name": "KAUSHIK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-12",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MD",
            "license": "D0091443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.