Individual provider Active NPI

Allan David Jensen, MD

  • Ophthalmology Physician
  • Baltimore, MD
National Provider Identifier
1326023326
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D8901 Issued in MD
Practice address
200 East 33Rd St
Suite 426
Baltimore, MD 21218-3381
Phone
(410) 235-1133
Fax
(410) 235-1267
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D8901 MD Primary

Addresses

Primary practice location

200 East 33Rd St
Suite 426
Baltimore, MD 21218-3381

Mailing address

200 East 33Rd St
Suite 426
Baltimore, MD 21218-3381

Other identifiers 1

IdentifierTypeStateIssuer
006271500MedicaidMD

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
I20101216000904 MD Practitioner - Ophthalmology 9032307012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Johns Hopkins University School of Medicine, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 E 33Rd St
Suite 426
Baltimore, MD 21218-3381
Phone (410) 235-1133

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50.65 of 100Reported as individual
Quality
0
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allan D. Jensen M.D., P.a. Ophthalmology CurrentSince Jan 1, 1975 Accepting new patients

Locations

200 E 33rd St
Ste 426
Baltimore, MD 21218
Phone (301) 235-1133

Organizations & group practices 1

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 1

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1326023326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 EAST 33RD ST",
            "address_2": "SUITE 426",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EAST 33RD ST",
            "address_2": "SUITE 426",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183381",
            "telephone_number": "410-235-1133",
            "fax_number": "410-235-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "ALLAN",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D8901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006271500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.