Individual provider Active NPI

Jeremy Jakob Wood, M.D.

  • Ophthalmology Physician
  • Frederick, MD
National Provider Identifier
1598714909
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25642 Issued in LA
Practice address
470 W Patrick St
Frederick, MD 21701-4858
Phone
(301) 668-2020
Fax
(301) 620-8729
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0097046 MD
Ophthalmology Physician 207W00000X 0101240205 VA
Ophthalmology Physician 207W00000X 25642 LA Primary

Addresses

Primary practice location

470 W Patrick St
Frederick, MD 21701-4858

Mailing address

7777 Hennessy Blvd
Suite 4000
Baton Rouge, LA 70808
Phone (225) 766-7441

Other practice location 1

7777 Hennessy Blvd
Suite 4000
Baton Rouge, LA 70808
Phone (225) 766-7441

Other identifiers 4

IdentifierTypeStateIssuer
33584OtherLACDS
0101240205OtherVASTATE LICENSE
1045926MedicaidLA
25642OtherLASTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MD, AZ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20071219000726 LA Practitioner - Ophthalmology 9436157799 Reassigns benefits to 2 organizations
I20230712004295 MD Practitioner - Ophthalmology 9436157799 Reassigns benefits to 1 organization
I20260615002256 AZ Practitioner - Ophthalmology 9436157799

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

470 W Patrick St
Frederick, MD 21701-4858
Phone (301) 668-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.62 of 100Reported as group
Quality
82.27
Promoting interoperability
100
Improvement activities
40
Cost
63.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery836

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25642LAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lsuhn Billing LLC CurrentSince Jan 1, 2016 Accepting new patients
Chesapeake Eye Care and Laser Center LLC Ophthalmology CurrentSince Jun 28, 2023 Accepting new patients
Eye Medical Center, Apmc CurrentSince Dec 15, 2007 Accepting new patients
Lsuhn Billing LLC CurrentSince Jan 1, 2016 Accepting new patients
The Optical Shoppe Past Accepting new patients
Kian M Kaz MD Eye Physician & Surgeon PC Ophthalmology PastSince Apr 11, 2005 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7777 Hennessy Blvd
Ste 4000
Baton Rouge, LA 70808
Phone (225) 766-7441

9032 Perkins Rd
Baton Rouge, LA 70810
Phone (225) 358-4853

7777 Hennessy Blvd
Ste 3000
Baton Rouge, LA 70808
Phone (225) 766-7441

1615 SW Railroad Ave
Hammond, LA 70403
Phone (504) 345-0050

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

2002 Medical Pkwy
Ste 320
Annapolis, MD 21401

37767 Market Dr
Unit 103
Charlotte Hall, MD 20622
Phone (301) 895-2020

112 Thomas Johnson Dr
Ste 130
Frederick, MD 21702
Phone (301) 668-3004

470 W Patrick St
Frederick, MD 21701
Phone (301) 668-2020

Interoperability endpoints

  • Direct secure messaging: jeremy.wood@vip.emadirect.md

Organizations & group practices 7

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 1

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1598714909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "SUITE 4000",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70808",
            "telephone_number": "225-766-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014858",
            "telephone_number": "301-668-2020",
            "fax_number": "301-620-8729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7777 Hennessy Blvd",
            "address_2": "Suite 4000",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "70808",
            "country_code": "US",
            "telephone_number": "225-766-7441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JEREMY",
        "middle_name": "JAKOB",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0097046",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101240205",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "25642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "33584",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0101240205",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1045926",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "25642",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.