Individual provider Active NPI

Jennifer Schwalbe Prabhu, M.D.

  • Internal Medicine Physician
  • Ellicott City, MD
National Provider Identifier
1497918791
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0074836 Issued in MD
Practice address
2850 N Ridge Rd Ste 103
Ellicott City, MD 21043-3396
Phone
(410) 465-8119
Fax
(410) 203-2016
NPI assigned
Jul 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0074836 MD
Internal Medicine Physician 207R00000X D0074836 MD Primary

Addresses

Primary practice location

2850 N Ridge Rd Ste 103
Ellicott City, MD 21043-3396

Mailing address

2850 N Ridge Rd Ste 103
Ellicott City, MD 21043-3396
Phone (410) 465-8119

Other names 1

  • Jennifer Pauline Schwalbe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20121012000342 MD Practitioner - Internal MedicinePractitioner - Pediatric Medicine 0143479873 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1497918791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 N RIDGE RD STE 103",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433396",
            "telephone_number": "410-465-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 N RIDGE RD STE 103",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433396",
            "telephone_number": "410-465-8119",
            "fax_number": "410-203-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRABHU",
        "first_name": "JENNIFER",
        "middle_name": "SCHWALBE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0074836",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0074836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SCHWALBE",
            "middle_name": "PAULINE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.