Individual provider Active NPI

Jason Kyle Molitoris, M.D.

  • Radiation Oncology Physician
  • Baltimore, MD
National Provider Identifier
1265876973
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
D85064 Issued in MD
Practice address
6565 N Charles St Ste 203
Baltimore, MD 21204-5805
Phone
(443) 849-3760
Fax
(443) 849-8138
NPI assigned
Apr 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X D85064 MD Primary

Addresses

Primary practice location

6565 N Charles St Ste 203
Baltimore, MD 21204-5805

Mailing address

6565 N Charles St Ste 203
Baltimore, MD 21204-5805
Phone (443) 849-3760

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180719001270 MD Practitioner - Radiation Oncology 2365682366 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Maryland Radiation Oncology Associates PAGroup PAC ID 6406845544, 35 clinicians
Maryland Proton Treatment Center, LLCGroup PAC ID 5597070524, 23 clinicians

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-6080

850 W Baltimore St
Baltimore, MD 21201-1154
Phone (410) 227-7434

Hospital & facility affiliations

  • University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002
  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037
  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023
  • University of MD Medical Center Midtown Campus Hospital, Baltimore, MD, CCN 210038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D85064MDMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Proton Treatment Center, LLC CurrentSince Jul 9, 2018 Accepting new patients
University of Maryland Radiation Oncology Associates PA Radiation Oncology CurrentSince Jul 9, 2018 Accepting new patients
Chesapeake Urology Associates LLC CurrentSince Aug 21, 2024 Accepting new patients
Chesapeake Urology Associates, LLC Current Accepting new patients
Radiation Oncology Affiliates of Maryland PastSince Jul 1, 2005 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

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

850 W Baltimore St
Baltimore, MD 21201
Phone (410) 227-7434

10 N Greene St
Baltimore, MD 21201
Phone (410) 605-7056

22 S Greene St
Bsmt B
Baltimore, MD 21201

3407 Wilkens Ave
Ste 200
Baltimore, MD 21229
Phone (410) 644-0929

16 S Eutaw St
Baltimore, MD 21201
Phone (410) 328-2864

22 S Greene St
Bsmt
Baltimore, MD 21201
Phone (410) 328-3037

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

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

10710 Charter Dr
Ste G030
Columbia, MD 21044
Phone (443) 546-1300

219 S Washington St
Easton, MD 21601

509 Idlewild Ave
Easton, MD 21601
Phone (410) 820-6411

152 Railroad Ave
Elkton, MD 21921
Phone (443) 907-1650

305 Hospital Dr
Ste E
Glen Burnie, MD 21061

305 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 553-8100

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

1838 Greene Tree Rd
Ste 460
Pikesville, MD 21208
Phone (410) 581-8140

7501 Osler Dr
Ste G04
Towson, MD 21204
Phone (410) 427-2525

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

Interoperability endpoints

  • Direct secure messaging: jmolitoris102411@direct.umm.edu

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1265876973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 N CHARLES ST STE 203",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212045805",
            "telephone_number": "443-849-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 N CHARLES ST STE 203",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212045805",
            "telephone_number": "443-849-3760",
            "fax_number": "443-849-8138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLITORIS",
        "first_name": "JASON",
        "middle_name": "KYLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-24",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MD",
            "license": "D85064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.