Active NPI
Jesse Lou, MD
- Physical Medicine & Rehabilitation Physician
- Germantown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- D0100095
- Practice address
- 19851 Observation Dr Ste 360
Germantown, MD 20876-4141 - Phone
- (855) 527-7246
- Fax
- (866) 229-5063
- NPI assigned
- Jun 6, 2019
- Last updated
- Apr 18, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MT227637 | PA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 4351044760 | MI | |
| Physical Medicine & Rehabilitation Physician | 208100000X | D0100095 | MD | Primary |
Addresses
Primary practice location
19851 Observation Dr Ste 360
Germantown, MD 20876-4141
Mailing address
111 S 11TH St Ste 8490
Philadelphia, PA 19107-4824
Phone (215) 503-6476
Other practice location 1
111 S 11th St Ste 8490
Philadelphia, PA 19107-4824
Phone (215) 503-6476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
187 Thomas Johnson Dr
Frederick, MD 21702-4503
19851 Observation Dr
Suite 360
Germantown, MD 20876-4141
Phone (410) 571-2946
6410 Rockledge Dr
Bethesda, MD 20817-1844
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT227637 | PA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Pain Management Specialists, LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Advanced Pain Management Specialists, LLC | Anesthesiology | Current | Accepting new patients |
| Advanced Pain Management Specialists, LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
201 Defense Hwy
Ste 260
Annapolis, MD 21401
810 Bestgate Rd
Ste 220
Annapolis, MD 21401
Phone (800) 997-2460
19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928
19851 Observation Dr
Germantown, MD 20876
Phone (240) 731-2813
19851 Observation Dr
Ste 350
Germantown, MD 20876
19851 Observation Dr
Ste 360
Germantown, MD 20876
120 Sallitt Dr
#D
Stevensville, MD 21666
Phone (410) 923-2714
Interoperability endpoints
- jesse.lou.1@11679.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Clearway Pain Solutions
- Interventional Pain Medicine Physician
- Annapolis, MD
- NPI 1861418220
Anesthesiology, DC
-
- Physical Therapist
- Frederick, MD
- NPI 1548290224
-
dba NRH Rehabilitation Network at Bethesda
- Rehabilitation Clinic/Center
- Bethesda, MD
- NPI 1457354748
-
dba Clearway Pain Solutions
- Durable Medical Equipment & Medical Supplies
- Silver Spring, MD
- NPI 1376355438
Physical Medicine & Rehabilitation
-
dba Clearway Pain Solutions
- Clinical Medical Laboratory
- Owings Mills, MD
- NPI 1316315740
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventist HealthCare Rehabilitation
- Rehabilitation Hospital
- Rockville, MD
- NPI 1043216773
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1134788953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S 11TH ST STE 8490",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074824",
"telephone_number": "215-503-6476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19851 OBSERVATION DR STE 360",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208764141",
"telephone_number": "855-527-7246",
"fax_number": "866-229-5063"
}
],
"practiceLocations": [
{
"address_1": "111 S 11th St Ste 8490",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191074824",
"country_code": "US",
"telephone_number": "215-503-6476",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOU",
"first_name": "JESSE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-06",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "PA",
"license": "MT227637",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "4351044760",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MD",
"license": "D0100095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.