Jonathan Ekedahl, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

D74366 Issued in MD

Practice address

100 Park Ave
Baltimore, MD 21201-3416

Phone

(410) 752-1677

Fax

(410) 752-4435

NPI assigned

May 30, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Ophthalmology

Education

University of Maryland School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Barenburg Optical Service, IncGroup PAC ID 4880582980, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

10.88 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

36.25

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Barenburg Optical Service, Inc

  • Optometrist
  • Baltimore, MD
  • NPI 1639179112
  Medicare reassignment Care Compare group NPD
• Macquaid Eye Institute

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Hunt Valley, MD
  • NPI 1831621911
  NPD (past)

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1174781686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 HAUBERT ST",
            "address_2": "OPHTH: OPHTHALMOLOGY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305235",
            "telephone_number": "301-520-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212013416",
            "telephone_number": "410-752-1677",
            "fax_number": "410-752-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKEDAHL",
        "first_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116021210",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D74366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahizechukwu Chigoziem Eke, MD, MPH, FWACS, FICS
• Benjamin Eke
• Miracle Chiamaka Eke, M.D.
• Onyinyechi F Eke
• Uzoamaka Akudo Eke, MD
• Ijeoma O Ekeocha, PHARMD
• Patience Ekeocha, CRNP, PHMNP-BC
• Glory Ekhator
• Sena Deniz Ekici, PHARM.D.
• Onyebuchi Ekiye

• Ophthalmology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Ophthalmology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.

Verify at the official NPI Registry.