Active NPI
Jean Jeudy Jr., M.D.
- Diagnostic Radiology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- D0061823
- Practice address
- 22 S Greene St, Dept of Radiology
Baltimore, MD 21201-1544 - Phone
- (410) 328-3477
- NPI assigned
- Jul 11, 2006
- Last updated
- Apr 25, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | D0061823 | MD | Primary |
Addresses
Primary practice location
22 S Greene St, Dept of Radiology
Baltimore, MD 21201-1544
Mailing address
22 S Greene St, Dept of Radiology
Baltimore, MD 21201-1544
Phone (410) 328-3477
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032200609 | Medicaid | DC | |
| 405185800 | Medicaid | MD |
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: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Maryland School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10400 Odonnell PL
Suite 100
Waldorf, MD 20603-7290
Phone (410) 298-0454
130 Hospital Rd
Suite Ll100
Prince Frederick, MD 20678-4029
Phone (410) 535-4111
22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-5700
22 Wainwright Ave
Annapolis, MD 21403-4509
Phone (443) 436-1100
401 Purdy St
Suite 104
Easton, MD 21601-4060
Phone (410) 298-0454
419 W Redwood St
Baltimore, MD 21201-1734
Phone (410) 328-3225
5 N la Plata CT
Suite 104
La Plata, MD 20646-5207
Phone (301) 539-0345
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0061823 | MD | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Imaging Services, LLC | Current | Accepting new patients | |
| University of Maryland Diagnostic Radiology, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Maryland Imaging Network PC | Diagnostic Radiology | Current | Accepting new patients |
| University of Maryland Diagnostic Radiology, LLC | Diagnostic Radiology | Current | Accepting new patients |
| University Imaging Specialists | Diagnostic Radiology | Past | Accepting new patients |
Locations
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
22 S Greene St
Rm N2E23
Baltimore, MD 21201
Phone (410) 328-5656
10715 Downsville Pike
Ste 103
Hagerstown, MD 21740
Phone (240) 313-9940
11110 Medical Campus Rd
Ste 245
Hagerstown, MD 21742
Phone (301) 714-4200
5 N La Plata Ct
Ste 104
La Plata, MD 20646
Phone (301) 539-0345
130 Hospital Rd
Ste LL100
Prnc Frederck, MD 20678
Phone (410) 535-4111
Interoperability endpoints
- jjeudy5071@direct.umm.edu
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Prince Frederick, MD
- NPI 1487296471
-
- Diagnostic Radiology Physician
- La Plata, MD
- NPI 1467996959
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1245245307
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1154335487
DC
-
- Radiology Clinic/Center
- Hagerstown, MD
- NPI 1114982808
-
- Diagnostic Radiology Physician
- Glen Burnie, MD
- NPI 1548803257
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1508819889
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Maryland Bowie Health Center
- General Acute Care Hospital
- Upper Marlboro, MD
- NPI 1720099286
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1841337805
-
dba University of Maryland Medical Center Midtown Campus
- General Acute Care Hospital
- Baltimore, MD
- NPI 1669565180
-
dba UM Shore Medical Center at Dorchester
- General Acute Care Hospital
- Cambridge, MD
- NPI 1194784751
-
dba UM Shore Medical Center at Easton
- General Acute Care Hospital
- Easton, MD
- NPI 1669431219
-
dba University of Maryland Medical Center
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556150400000",
"number": "1316971435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 S GREENE ST, DEPT OF RADIOLOGY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544",
"telephone_number": "410-328-3477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S GREENE ST, DEPT OF RADIOLOGY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544",
"telephone_number": "410-328-3477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEUDY",
"first_name": "JEAN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2019-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MD",
"license": "D0061823",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "032200609",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "405185800",
"state": "MD"
}
],
"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 Apr 25, 2019; 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.