Individual provider Active NPI

Jahinover Mazo, MD

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1427554872
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D96675 Issued in MD
Practice address
4940 Eastern Avenue
Baltimore, MD 21264-5425
Phone
(410) 550-0100
NPI assigned
Apr 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD483402 PA
Diagnostic Radiology Physician 2085R0202X D96675 MD Primary

Addresses

Primary practice location

4940 Eastern Avenue
Baltimore, MD 21264-5425

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-6423

Other practice location 1

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1100

Other practice location 2

121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-6604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, MT, DC, ME, IL, WV, WA7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20230705003487 MD Practitioner - Diagnostic Radiology 1456698497 Reassigns benefits to 1 organization
I20230821002096 MT Practitioner - Diagnostic Radiology 1456698497 Reassigns benefits to 4 organizations
I20230914001460 DC Practitioner - Diagnostic Radiology 1456698497 Reassigns benefits to 9 organizations
I20231010003989 ME Practitioner - Diagnostic Radiology 1456698497 Reassigns benefits to 2 organizations
I20231018001691 IL Practitioner - Diagnostic Radiology 1456698497 Reassigns benefits to 3 organizations
I20240612000576 WV Practitioner - Diagnostic Radiology 1456698497 Reassigns benefits to 2 organizations
I20250710002265 WA Practitioner - Diagnostic Radiology 1456698497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Jersey Radiology Associates P aGroup PAC ID 9133115587, 202 clinicians
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Houlton Regional HospitalGroup PAC ID 0042127946, shared by 5 NPIs, 59 clinicians
St Paul Place Specialists, Inc.Group PAC ID 7719882943, 332 clinicians

Practice addresses (Care Compare)

Kensington, MD 20895
Phone (856) 229-0696

Martinsburg, WV 25405
Phone (570) 271-6144

10872 Hunter Gate Way
Reston, VA 20194-1420
Phone (952) 595-1100

12801 Hacienda RDG
Austin, TX 78738-7652
Phone (713) 461-3573

20 Hartford St
Houlton, ME 04730-1859

2000 S Palestine St
Athens, TX 75751-5610
Phone (903) 676-1000

2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 264-1000

3223 University Blvd W
Apt 21
Kensington, MD 20895-1828
Phone (952) 595-1100

3233 University Blvd W
Apt 21
Kensington, MD 20895-1828
Phone (410) 659-2963

3310 Ordway St NW
Washington, DC 20008-3260
Phone (410) 659-2963

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D96675MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Sidney Health Center Current Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Pacific County Hospital District 2 Current Accepting new patients
Johns Hopkins University Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Olean General Hospital Current Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Geisinger-HM Joint Venture LLC Diagnostic Radiology Current Accepting new patients
Sidney Health Center Current Accepting new patients
Johns Hopkins University Current Accepting new patients
Houlton Regional Hospital CurrentSince Oct 1, 2023 Accepting new patients
West Virginia University Medical Corporation Diagnostic Radiology CurrentSince Jul 22, 2024 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Current Accepting new patients
Sidney Health Center CurrentSince Aug 15, 2023 Accepting new patients
Houlton Regional Hospital CurrentSince Oct 1, 2023 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Jan 15, 2024 Accepting new patients
Sidney Health Center CurrentSince Aug 15, 2023 Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
South Jersey Radiology Associates P a Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2023 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jul 22, 2024 Accepting new patients
Radiology Associates of Burlington County P a Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Central Montana Medical Facilities, Inc Current Accepting new patients
Houlton Regional Hospital Current Accepting new patients
St Paul Place Specialists Inc Diagnostic Radiology CurrentSince Dec 5, 2023 Accepting new patients
Olean General Hospital CurrentSince Sep 7, 2025 Accepting new patients
Northern Montana Hospital Current Accepting new patients
Glendive Medical Center, Inc Diagnostic Radiology Past Accepting new patients
Ozarks Medical Center Diagnostic Radiology Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

721 E Court St
Paris, IL 61944
Phone (217) 465-4141

4940 Eastern Ave
Baltimore, MD 21224

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100

621 3rd St S
Glasgow, MT 59230
Phone (406) 228-3500

30 13th St
Havre, MT 59501
Phone (406) 262-1302

214 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

300 S Preston St
Ranson, WV 25438
Phone (304) 728-1600

Interoperability endpoints

  • Direct secure messaging: jmazo11174@prd.direct.tbh.org

Organizations & group practices 34

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 34

Hospital & facility affiliations 8

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": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1427554872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 EASTERN AVENUE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212645425",
            "telephone_number": "410-550-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Minnesota Dr Ste 800",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554357915",
            "country_code": "US",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Dekalb Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112015425",
            "country_code": "US",
            "telephone_number": "718-250-6604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZO",
        "first_name": "JAHINOVER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD483402",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D96675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.