Active NPI
Jacob Cherian, MD
- Neurological Surgery Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- D89573
- Practice address
- 22 S Greene St Ste S12D
Baltimore, MD 21201-1544 - Phone
- (410) 328-5262
- NPI assigned
- Jul 7, 2011
- Last updated
- Nov 4, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | BP10041718 | TX | |
| Neurological Surgery Physician | 207T00000X | 080552 | GA | |
| Neurological Surgery Physician | 207T00000X | D89573 | MD | Primary |
| Neuroradiology Physician | 2085N0700X | D89573 | MD | |
| Diagnostic Radiology Physician | 2085R0202X | D89573 | MD |
Addresses
Primary practice location
22 S Greene St Ste S12D
Baltimore, MD 21201-1544
Mailing address
22 S Greene St Ste S12D
Baltimore, MD 21201-1544
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 666920400 | Medicaid | MD | |
| 040148867 | Medicaid | DC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Baylor College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-6704
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 080552 | GA | MD | Neurological Surgery Physician |
| D89573 | MD | MD | Neurological Surgery Physician |
| BP10041718 | TX | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Diagnostic Imaging Specialists P a | Neuroradiology | Current | Accepting new patients |
| University Imaging Center, LLC | Neuroradiology | Current | Accepting new patients |
| University of Maryland Diagnostic Imaging Specialists P a | Neuroradiology | Current | Accepting new patients |
| University of Maryland Neurosurgery Associates P a | Neurological Surgery | Current | Accepting new patients |
| Shock Trauma Associates, P.a. | Current | Accepting new patients | |
| University Imaging Center, LLC | Neuroradiology | Current | Accepting new patients |
| University of Maryland Medical Center, LLC | Past | Accepting new patients |
Locations
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
22 S Greene St
Rm N2E23
Baltimore, MD 21201
Phone (410) 328-5656
22 S Greene St
Ste 12D
Baltimore, MD 21201
Phone (410) 328-6034
22 S Greene St
Ste S12D
Baltimore, MD 21201
Phone (410) 328-6034
351 W Camden St
Ste 501
Baltimore, MD 21201
Phone (410) 328-6034
419 W Redwood St
Baltimore, MD 21201
Phone (410) 328-5196
5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000
Interoperability endpoints
- jcherian690278@direct.umm.edu
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Shock Trauma Associates
- Emergency Care Clinic/Center
- Baltimore, MD
- NPI 1679512909
-
- Neurological Surgery Physician
- Columbia, MD
- NPI 1639119035
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1245245307
Neuroradiology
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1154335487
Neuroradiology
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1992511265
Neuroradiology
-
- Diagnostic Radiology Physician
- Largo, MD
- NPI 1619783974
Neuroradiology
-
dba University of Maryland Medical Center
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Maryland Medical Center
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1609163898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 S GREENE ST STE S12D",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S GREENE ST STE S12D",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544",
"telephone_number": "410-328-5262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERIAN",
"first_name": "JACOB",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-07",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TX",
"license": "BP10041718",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "GA",
"license": "080552",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MD",
"license": "D89573",
"primary": true
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "MD",
"license": "D89573",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MD",
"license": "D89573",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "666920400",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "040148867",
"state": "DC"
}
],
"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, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.