Michael Richard Jablonover, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D41812 Issued in MD

Practice address

1100 E 33Rd St
Baltimore, MD 21218-6789

Phone

(443) 290-6514

NPI assigned

Mar 9, 2007

Last updated

Dec 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Internal Medicine

Education

Duke University School of Medicine, 1989

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.jablonover.1@27478.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Maryland Physicians P.a.

  dba University of Maryland Medical Group - Cardiology

  • Cardiovascular Disease Physician
  • Baltimore, MD
  • NPI 1689623175
  Medicare reassignment NPD
• Sage Health Maryland LLC

  • Primary Care Clinic/Center
  • Woodlawn, MD
  • NPI 1770294324
  NPD
• University Care

  • Health Service Psychologist
  • Baltimore, MD
  • NPI 1629210166
  NPD
• University Care LLC

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1497760276

  Internal Medicine

  NPD
• University of Maryland Physicians P.a.

  dba University of Maryland Medical Group

  • Gastroenterology Physician
  • Largo, MD
  • NPI 1619860194
  NPD
• University of Maryland Physicians, P.a.

  dba Univ of MD Med GRP - Gim

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1104877075
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Sage Health Mississippi LLC

  • Primary Care Clinic/Center
  • Gulfport, MS
  • NPI 1861103400
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1265564066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22389",
            "address_2": "PMB 82739",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37202",
            "telephone_number": "866-315-2626",
            "fax_number": "410-328-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E 33RD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212186789",
            "telephone_number": "443-290-6514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 S Greene St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "410-328-2769",
            "fax_number": "410-328-7595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JABLONOVER",
        "first_name": "MICHAEL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D41812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315761000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS",
            "identifier": "S062-0063",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayat Jabbour, DO
• Fayez Julian Jabboure
• Mahmood Jaberi, M.D.
• Maryam Jaberi, M.D.
• Lisa Harriett Jablon, RN, MS, CS
• Christine Jablonski, RD, LDN
• Sarah Jabour
• Jacalyn Blackwell-White, M,D., PA
• Jacinta Nutrition and Diabetes Education Services LLC
• Timothy Jack, MD

• Internal Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.