Active NPI
Jerome McQueen, MD
- Anesthesiology Physician
- Clinton, MD
National Provider Identifier
1144205378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- D35395
- Practice address
- 7503 Surratts Rd
Clinton, MD 20735-3358 - Phone
- (301) 868-8000
- NPI assigned
- Dec 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | D35395 | MD | Primary |
Addresses
Primary practice location
7503 Surratts Rd
Clinton, MD 20735-3358
Mailing address
PO Box 452395
Sunrise, FL 33345-2395
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Comfort Sedation LLC | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Sterling Anesthesia Management Services of Maryland | Anesthesiology | Past | Accepting new patients |
| Providence Health Services, Inc | Anesthesiology | Past | Accepting new patients |
| Washington Hospital Center Corp | Anesthesiology | Past | Accepting new patients |
| Francu One LLC | Past | Accepting new patients | |
| Medical Faculty Associates, Inc | Anesthesiology | Past | Accepting new patients |
| Global Anesthesia Services LLC | Anesthesiology | Past | Accepting new patients |
Locations
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
1221 Mercantile Ln
Fl 3
Largo, MD 20774
Phone (301) 618-5500
10110 Molecular Dr
Ste 100
Rockville, MD 20850
Phone (301) 838-0437
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
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.
-
- Ambulatory Surgical Clinic/Center
- Largo, MD
- NPI 1366781700
DC
-
- Health Maintenance Organization
- Annapolis, MD
- NPI 1952461816
DC
-
- Health Maintenance Organization
- MC Lean, VA
- NPI 1376815472
-
- Specialist
- Glen Burnie, MD
- NPI 1194972588
-
- Anesthesiology Physician
- Bel Air, MD
- NPI 1013312412
-
- Anesthesiology Physician
- Cheverly, MD
- NPI 1619992195
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
-
- Anesthesiology Physician
- Washington, DC
- NPI 1740795293
-
- Anesthesiology Physician
- Washington, DC
- NPI 1265452635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1144205378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 452395",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333452395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7503 SURRATTS RD",
"city": "CLINTON",
"state": "MD",
"postal_code": "207353358",
"telephone_number": "301-868-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCQUEEN",
"first_name": "JEROME",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-09",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "D35395",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "7503 Surratts Rd",
"city": "Clinton",
"state": "MD",
"country_code": "US",
"postal_code": "207353358",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clinton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.