Individual provider Active NPI

Jay B Penafiel, MD

  • Cardiovascular Disease Physician
  • Glen Burnie, MD
National Provider Identifier
1174515217
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D50087 Issued in MD
Practice address
1417 Madison Park Dr
Glen Burnie, MD 21061-5613
Phone
(410) 768-6600
Fax
(410) 768-3132
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D50087 MD Primary

Addresses

Primary practice location

1417 Madison Park Dr
Glen Burnie, MD 21061-5613

Mailing address

1417 Madison Park Dr
Glen Burnie, MD 21061-5613
Phone (410) 768-6600

Other identifiers 2

IdentifierTypeStateIssuer
060068110OtherMDRAILROAD MEDICARE
970505800MedicaidMD

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
I20110216000945 MD Practitioner - Cardiovascular Disease (Cardiology) 8628259157 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Maryland School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1417 Madison Park Dr
Glen Burnie, MD 21061-5613
Phone (410) 768-6600

Hospital & facility affiliations

  • University of MD Baltimore Washington Medical Center Hospital, Glen Burnie, MD, CCN 210043

Merit-based Incentive Payment System (MIPS)

Final score
75.16 of 100Reported as individual
Quality
52.19
Improvement activities
40
Cost
80.95

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. Current Accepting new patients
The Heart Center of Northern Anne Arundel County PA Cardiovascular Disease CurrentSince Jul 1, 2001 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Mar 1, 2025 Accepting new patients
University of Maryland Baltimore Washington Heart Associates LLC Cardiovascular Disease CurrentSince Mar 1, 2025 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Mar 1, 2025 Accepting new patients
North Arundel Cardiology Services, LLC Cardiovascular Disease Past Accepting new patients
Harbor Hospital Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1417 Madison Park Dr
Glen Burnie, MD 21061
Phone (410) 768-6600

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

7845 Oakwood Rd
Ste 106
Glen Burnie, MD 21061
Phone (410) 760-5100

7845 Oakwood Rd
Ste 100
Glen Burnie, MD 21061
Phone (410) 760-1010

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

920 Elkridge Landing Rd
Fl 4
Linthicum Heights, MD 21090
Phone (443) 462-5010

Interoperability endpoints

  • Direct secure messaging: jpenafiel23437@direct.umm.edu

Organizations & group practices 8

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1174515217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 MADISON PARK DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615613",
            "telephone_number": "410-768-6600",
            "fax_number": "410-768-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 MADISON PARK DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615613",
            "telephone_number": "410-768-6600",
            "fax_number": "410-768-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENAFIEL",
        "first_name": "JAY",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D50087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060068110",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "970505800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.