NPIMap

Individual provider Active NPI

Jonathan D Dubin, M.D.

  • Cardiovascular Disease Physician
  • Pikesville, MD
National Provider Identifier
1356300222
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0040131 Issued in MD
Practice address
4000 Old Court Rd
Suite 103
Pikesville, MD 21208-2800
Phone
(410) 521-5600
Fax
(410) 580-9061
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D0040131 MD Primary

Addresses

Primary practice location

4000 Old Court Rd
Suite 103
Pikesville, MD 21208-2800

Mailing address

4000 Old Court Rd
Suite 103
Pikesville, MD 21208-2800
Phone (410) 521-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050502000422 MD Practitioner - Cardiovascular Disease (Cardiology) 3476592288 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Harvard Medical School, 1983
Medicare assignment
May accept Medicare assignment
Group practices
Sinai Hospital of Baltimore, IncGroup PAC ID 0941112346, 373 clinicians
Baltimore Heart Associates, P.a.Group PAC ID 2264420843, 6 clinicians
Northwest Hospital Center IncGroup PAC ID 6204739352, 90 clinicians

Practice addresses (Care Compare)

2401 E Belvedere Ave
Baltimore, MD 21215-5216

2401 W Belvedere Ave
Baltimore, MD 21215-5271

2411 W Belvedere Ave
Rehab Medicine Associates
Baltimore, MD 21215-5271
Phone (410) 601-8691

4000 Old Court Rd
Suite 103
Pikesville, MD 21208-2828
Phone 41052156001507

5401 Old Court Rd
Randallstown, MD 21133-5103
Phone (410) 521-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.25 of 100Reported as individual
Quality
99.48
Improvement activities
40
Cost
76.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0040131MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc Cardiovascular Disease CurrentSince Jul 3, 2008 Accepting new patients
Northwest Hospital Center, Inc. CurrentSince Nov 1, 2015 Accepting new patients
Northwest Hospital Center, Inc Current Accepting new patients
Northwest Hospital Center, Inc Cardiovascular Disease CurrentSince Nov 1, 2015 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jul 3, 2008 Accepting new patients
Baltimore Heart Associates, P.a. Cardiovascular Disease CurrentSince Jul 1, 1994 Accepting new patients
Union Memorial Hospital Past Accepting new patients
Sinai Hospital of Baltimore Inc Cardiovascular Disease Past Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

2411 W Belvedere Ave
Ste 509
Baltimore, MD 21215
Phone (401) 367-0100

2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632

4000 Old Court Rd
Ste 103
Pikesville, MD 21208
Phone (410) 484-9415

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

Organizations & group practices 9

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 3

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1356300222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 OLD COURT RD",
            "address_2": "SUITE 103",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082800",
            "telephone_number": "410-521-5600",
            "fax_number": "410-580-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 OLD COURT RD",
            "address_2": "SUITE 103",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082800",
            "telephone_number": "410-521-5600",
            "fax_number": "410-580-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBIN",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0040131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

Verify at the official NPI Registry.