Active NPI
Nomy Thomas Jacob, DNP,CRNP,SCRN,CNRN
- Adult Health Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R178758
- Practice address
- 2401 W Belvedere Ave
Baltimore, MD 21215-5216 - Phone
- (443) 374-8926
- NPI assigned
- Sep 2, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R178758 | MD | Primary |
Addresses
Primary practice location
2401 W Belvedere Ave
Baltimore, MD 21215-5216
Mailing address
2401 W Belvedere Ave
Baltimore, MD 21215-5216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401
3007 Tilden St NW
Suite 5N
Washington, DC 20008-3030
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.34 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baltimore Suburban Health, LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Total Elder Care LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
110 Irving St NW
Rm 3114
Washington, DC 20010
Phone (202) 877-0570
2401 W Belvedere Ave
Baltimore, MD 21215
18101 Prince Philip Dr
Olney, MD 20832
Phone (301) 774-8618
10085 Red Run Blvd
Ste 306
Owings Mills, MD 21117
Phone (410) 581-7804
4000 Old Court Rd
Ste 301
Pikesville, MD 21208
Phone (410) 496-7700
18100 Slade School Rd
Sandy Spring, MD 20860
Phone (301) 223-7971
18131 Slade School Rd
Sandy Spring, MD 20860
Phone (301) 260-1075
2000 15th St N
Ste 600
Arlington, VA 22201
Phone (202) 425-0000
Interoperability endpoints
- https://api.platform.athenahealth.com/14466/brand/1/csg/1/fhir/r4
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.
-
- Internal Medicine Physician
- Owings Mills, MD
- NPI 1013955723
-
- Geriatric Medicine (Internal Medicine) Physician
- Washington, DC
- NPI 1750752911
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1265046742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 W BELVEDERE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212155216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 W BELVEDERE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212155216",
"telephone_number": "443-374-8926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS JACOB",
"first_name": "NOMY",
"name_prefix": "Dr.",
"credential": "DNP,CRNP,SCRN,CNRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-02",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "R178758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.