NPIMap

Individual provider Active NPI

Jeremy Ross Yospin, M.D.

  • Nephrology Physician
  • Hagerstown, MD
National Provider Identifier
1366431801
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D0060469 Issued in MD
Practice address
12931 Oak Hill Avenue
Hagerstown, MD 21742-2914
Phone
(301) 797-9600
Fax
(301) 797-3854
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X D0060469 MD Primary

Addresses

Primary practice location

12931 Oak Hill Avenue
Hagerstown, MD 21742-2914

Mailing address

12931 Oak Hill Avenue
Hagerstown, MD 21742-2914
Phone (301) 797-9600

Other identifiers 3

IdentifierTypeStateIssuer
3810011186MedicaidWV
1018921100001MedicaidPA
404957800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA, WV3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050719000968 MD Practitioner - NephrologyPractitioner - Internal Medicine 3173550449 Reassigns benefits to 1 organization
I20070130000255 PA Practitioner - NephrologyPractitioner - Internal Medicine 3173550449 Reassigns benefits to 1 organization
I20070618000200 WV Practitioner - NephrologyPractitioner - Internal Medicine 3173550449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Otto Roza MD PAGroup PAC ID 4880596675, 10 clinicians

Practice addresses (Care Compare)

103 Marcley Dr
Martinsburg, WV 25401-2977
Phone (304) 263-0911

12931 Oak Hill Ave
Hagerstown, MD 21742-2914
Phone (301) 797-9600

27 Vista Dr
Waynesboro, PA 17268-2541
Phone (301) 797-9600

Hospital & facility affiliations

  • FKC Waynesboro Dialysis facility, Waynesboro, PA, CCN 392701
  • FKC Chambersburg Dialysis facility, Chambersburg, PA, CCN 392741
  • FMC - Hagerstown Dialysis facility, Hagerstown, MD, CCN 212534
  • DaVita Eastern Boulevard Dialysis Dialysis facility, Hagerstown, MD, CCN 212691
  • FMC - Robinwood Dialysis facility, Hagerstown, MD, CCN 212627
  • Meritus Medical Center Hospital, Hagerstown, MD, CCN 210001
  • Wellspan Waynesboro Hospital Hospital, Waynesboro, PA, CCN 390138
  • Wellspan Chambersburg Hospital Hospital, Chambersburg, PA, CCN 390151
  • Frederick Health Hospital Hospital, Frederick, MD, CCN 210005
  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008

Merit-based Incentive Payment System (MIPS)

Final score
55.98 of 100Reported as group
Quality
67.88
Improvement activities
0
Cost
76.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22696WVMDLicensed Practical Nurse
D0060469MDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Otto Roza M.D., P.a. Nephrology CurrentSince Jan 1, 2007 Accepting new patients
Meritus Medical Laboratory LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

140 Thomas Johnson Dr
Ste 202
Frederick, MD 21702
Phone (301) 620-9899

11110 Medical Campus Rd
Ste 149
Hagerstown, MD 21742
Phone (240) 313-9620

12931 Oak Hill Ave
Hagerstown, MD 21742
Phone (301) 797-2311

27 Vista Dr
Waynesboro, PA 17268
Phone (301) 797-9600

103 Marcley Dr
Martinsburg, WV 25401
Phone (304) 263-0911

Interoperability endpoints

  • Direct secure messaging: jyospin21277@direct.acumenmd.com

Organizations & group practices 3

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1366431801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12931 OAK HILL AVENUE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422914",
            "telephone_number": "301-797-9600",
            "fax_number": "301-797-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12931 OAK HILL AVENUE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422914",
            "telephone_number": "301-797-9600",
            "fax_number": "301-797-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOSPIN",
        "first_name": "JEREMY",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0060469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810011186",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018921100001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404957800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.