Individual provider Active NPI

Jennifer Mary Jagoe, MD

  • Obstetrics & Gynecology Physician
  • Germantown, MD
National Provider Identifier
1205837648
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D75231 Issued in MD
Practice address
19785 Crystal Rock Dr
Germantown, MD 20874-4700
Phone
(301) 528-8444
Fax
(301) 540-3260
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D75231 MD Primary
Obstetrics & Gynecology Physician 207V00000X D0075231 MD

Addresses

Primary practice location

19785 Crystal Rock Dr
Germantown, MD 20874-4700

Mailing address

19785 Crystal Rock Dr
Germantown, MD 20874-4700
Phone (301) 528-8444

Other practice location 1

11500 Old Georgetown Rd
Rockville, MD 20852-2735
Phone (301) 468-4900

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181003002799 DC Practitioner - Obstetrics/Gynecology 8527281096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Jefferson Medical College of Thomas Jefferson University, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2021 K St NW
Washington, DC 20006-1003

8110 Maple Lawn Blvd
Suite 235
Fulton, MD 20735-2694

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0075231MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Women's Care, L.L.C. Obstetrics & Gynecology CurrentSince Feb 1, 2024 Accepting new patients
Medical Faculty Associates, Inc Obstetrics & Gynecology CurrentSince Sep 7, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Adventist Healthcare, Inc. Past Accepting new patients

Locations

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

2021 K St NW
Ste 408
Washington, DC 20006
Phone (202) 223-1024

19785 Crystal Rock Dr
Ste 209
Germantown, MD 20874
Phone 3015152901103

19785 Crystal Rock Dr
Germantown, MD 20874
Phone (240) 753-5419

19785 Crystal Rock Dr
Ste 208
Germantown, MD 20874
Phone (301) 528-8444

9711 Medical Center Dr
Ste 109
Rockville, MD 20850
Phone (301) 762-5501

11500 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 468-4900

Interoperability endpoints

  • Direct secure messaging: jennifer.jagoe.p1@direct.cwcare.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1205837648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19785 CRYSTAL ROCK DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208744700",
            "telephone_number": "301-528-8444",
            "fax_number": "301-540-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19785 CRYSTAL ROCK DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208744700",
            "telephone_number": "301-528-8444",
            "fax_number": "301-540-3260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11500 Old Georgetown Rd",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208522735",
            "country_code": "US",
            "telephone_number": "301-468-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAGOE",
        "first_name": "JENNIFER",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D75231",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0075231",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.