Individual provider Active NPI

Jamie L Kuck, MD, PHD

  • Emergency Medicine Physician
  • Baltimore, MD
National Provider Identifier
1265051478
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D0097100 Issued in MD
Practice address
827 Linden Ave
Baltimore, MD 21201-4606
Phone
(410) 225-8000
NPI assigned
Apr 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D0097100 MD Primary

Addresses

Primary practice location

827 Linden Ave
Baltimore, MD 21201-4606

Mailing address

110 S Paca St FL 6
Baltimore, MD 21201-1642
Phone (667) 214-2054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231109003558 MD Practitioner - Emergency Medicine 2466875125 Reassigns benefits to 3 organizations
I20240905000628 DC Practitioner - Emergency Medicine 2466875125 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0097100MDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WHC Emerg Phys CurrentSince Jul 1, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2025 Accepting new patients
University of Maryland Emergency Medicine Associates, PA Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2025 Accepting new patients
WHC Physician Group LLC CurrentSince Jul 1, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2025 Accepting new patients
WHC Physician Group LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651

821 N Eutaw St
Baltimore, MD 21201
Phone (410) 225-9185

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

11355 Pembrooke Sq
Ste 108
Waldorf, MD 20603
Phone (202) 877-6733

Organizations & group practices 7

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": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1265051478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S PACA ST FL 6",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011642",
            "telephone_number": "667-214-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 LINDEN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014606",
            "telephone_number": "410-225-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCK",
        "first_name": "JAMIE",
        "middle_name": "L",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0097100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.