Individual provider Active NPI

Jay Ivan Stern, M.D.

  • Internal Medicine Physician
  • Hyattsville, MD
National Provider Identifier
1598952160
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0034206 Issued in MD
Practice address
5804 Baltimore Avenue
Hyattsville, MD 20781
Phone
(301) 927-7800
Fax
(301) 927-0375
NPI assigned
Sep 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0034206 MD Primary

Addresses

Primary practice location

5804 Baltimore Avenue
Hyattsville, MD 20781

Mailing address

5501 45TH Avenue
Apt. #501
Hyattsville, MD 20781
Phone (410) 608-1618

Other identifiers 1

IdentifierTypeStateIssuer
ME11554OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20081016000510 DC Practitioner - Internal Medicine 0446318679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Richard Lilly MD Abfp CHTDGroup PAC ID 6103896386, 9 clinicians

Practice addresses (Care Compare)

5804 Baltimore Ave
Hyattsville, MD 20781-1623
Phone (301) 927-7800

Merit-based Incentive Payment System (MIPS)

Final score
94.33 of 100Reported as group
Quality
82.98
Improvement activities
40
Cost
87.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0034206MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J Richard Lilly MD Shaaron R Towns MD and Associates PC CurrentSince Oct 8, 2007 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5804 Baltimore Ave
Hyattsville, MD 20781
Phone (301) 927-7800

5711 Sarvis Ave
Ste 302
Riverdale, MD 20737
Phone (301) 927-7800

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": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1598952160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 45TH AVENUE",
            "address_2": "APT. #501",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "20781",
            "telephone_number": "410-608-1618",
            "fax_number": "561-766-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5804 BALTIMORE AVENUE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "20781",
            "telephone_number": "301-927-7800",
            "fax_number": "301-927-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "JAY",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-27",
        "last_updated": "2023-03-07",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0034206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME11554",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

Verify at the official NPI Registry.