Individual provider Active NPI

Theo Jones Sr., FNP

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1386110518
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R214241 Issued in MD
Practice address
1034 McDonogh St
Baltimore, MD 21205-1110
Phone
(443) 825-5545
NPI assigned
Oct 15, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R214241 MD Primary

Addresses

Primary practice location

1034 McDonogh St
Baltimore, MD 21205-1110

Mailing address

1034 McDonogh St
Baltimore, MD 21205-1110
Phone (443) 825-5545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190304001069 MD Practitioner - Nurse Practitioner 6901145259 Reassigns benefits to 5 organizations
I20220920000267 DC Practitioner - Nurse Practitioner 6901145259 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adfinitas Health at Umcap LLCGroup PAC ID 0840677738, 53 clinicians

Practice addresses (Care Compare)

200 Memorial Ave
Westminster, MD 21157-5726
Phone (410) 871-6700

901 Harry S Truman Dr
Largo, MD 20774-5477
Phone (240) 677-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weekend Whitecoat Concierge LLC CurrentSince Dec 6, 2020 Accepting new patients
Emergency Medicine Associates P.a., P.C. Current Accepting new patients
Wellspan Medical Group Current Accepting new patients
CRH MD Management, LLC CurrentSince Oct 23, 2023 Accepting new patients
Adfinitas Health at Umcap, LLC CurrentSince Aug 20, 2022 Accepting new patients
Maryland Medical First P.a. CurrentSince Jan 13, 2020 Accepting new patients
Wellspan Medical Group CurrentSince Mar 11, 2024 Accepting new patients
CRH MD Management LLC CurrentSince Oct 23, 2023 Accepting new patients
Wellspan Medical Group CurrentSince Mar 11, 2024 Accepting new patients
Emergency Medicine Associates, PA CurrentSince Jan 1, 2025 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jan 1, 2025 Accepting new patients
CRH MD Management LLC CurrentSince Oct 23, 2023 Accepting new patients
Mdics at Anne Arundel LLC CurrentSince Feb 5, 2021 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

904 Commerce Rd
Annapolis, MD 21401
Phone (410) 849-6140

14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684

8901 Clement Ave
Parkville, MD 21234
Phone (410) 661-4670

11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094

750 Rockville Pike
Rockville, MD 20852
Phone (301) 424-0658

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800

52 Water St
Thurmont, MD 21788
Phone (301) 271-3535

901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

Interoperability endpoints

  • Direct secure messaging: tjones451201@direct.umm.edu
  • FHIR API: https://fhir4.healow.com/fhir/r4/BAFGCA

Organizations & group practices 14

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.

View all 14

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": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1386110518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 MCDONOGH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051110",
            "telephone_number": "443-825-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 MCDONOGH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051110",
            "telephone_number": "443-825-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "THEO",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R214241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.