Organization Active NPI

Julian Jakobovits MD LLC

  • Gastroenterology Physician
  • Baltimore, MD
National Provider Identifier
1487877593
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D25039 Issued in MD
Legal business name
JULIAN JAKOBOVITS MD LLC
Practice address
2835 Smith Ave
Suite 207
Baltimore, MD 21209
Phone
(410) 580-0900
Fax
(410) 580-0773
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Dr. Julian Jakobovits, MDNPI 1780615609
Title
Physician
Phone
(410) 580-0900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X D25039 MD Primary

Addresses

Primary practice location

2835 Smith Ave
Suite 207
Baltimore, MD 21209

Mailing address

2835 Smith Ave
Suite 207
Baltimore, MD 21209
Phone (410) 580-0900

Other identifiers 1

IdentifierTypeStateIssuer
260331400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050329000320 MD Part B Supplier - Clinic/Group Practice 2961458393 Receives reassigned benefits from 2 practitioners
Practice locations: Baltimore, MD; Pikesville, MD
O20220125000047 DC Part B Supplier - Clinic/Group Practice 2961458393 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0969441Julian Jakobovits MD LLC2835 Smith Avenue #207, Baltimore, MD 21209Certificate of waiverJan 13, 2028

National Provider Directory

National Provider Directory

Locations

510 Reisterstown Rd
Baltimore, MD 21208
Phone (410) 580-0900

2835 Smith Ave
Baltimore, MD 21209
Phone (410) 358-4243

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1487877593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 SMITH AVE",
            "address_2": "SUITE 207",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21209",
            "telephone_number": "410-580-0900",
            "fax_number": "410-580-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 SMITH AVE",
            "address_2": "SUITE 207",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21209",
            "telephone_number": "410-580-0900",
            "fax_number": "410-580-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIAN JAKOBOVITS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "JAKOBOVITS",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "410-580-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D25039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260331400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.