Individual provider Active NPI

Jonathan S. Rogers, MD

  • Cardiovascular Disease Physician
  • Baltimore, MD
National Provider Identifier
1619012291
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D65722 Issued in MD
Practice address
1838 Greene Tree Rd
Suite 535
Baltimore, MD 21208-6391
Phone
(410) 469-4000
Fax
(410) 469-4074
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D65722 MD Primary

Addresses

Primary practice location

1838 Greene Tree Rd
Suite 535
Baltimore, MD 21208-6391

Mailing address

1838 Greene Tree Rd
Suite 535
Baltimore, MD 21208-6391
Phone (410) 469-4000

Other identifiers 2

IdentifierTypeStateIssuer
412623800MedicaidMD
896945-01OtherMDBLUE CROSS/BLUE SHIELD

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
I20070706000362 MD Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1456451368 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Maryland School of Medicine, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Sinai Hospital of Baltimore, IncGroup PAC ID 0941112346, 373 clinicians

Practice addresses (Care Compare)

1838 Greene Tree Rd
Suite 535
Pikesville, MD 21208-7104
Phone (410) 469-4937

2401 E Belvedere Ave
Baltimore, MD 21215-5216

2401 W Belvedere Ave
Hospitalist Office
Baltimore, MD 21215-5216
Phone (410) 601-0594

410 Malcolm Dr
Suite a
Westminster, MD 21157-6160
Phone (410) 876-7772

5401 Old Court Rd
Randallstown, MD 21133-5103
Phone (410) 521-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.23 of 100Reported as group
Quality
60.26
Promoting interoperability
100
Improvement activities
40
Cost
76.75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Community Physicians, Inc Cardiovascular Disease Current Accepting new patients
Lifebridge Community Physicians, Inc CurrentSince Jul 1, 2011 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Lifebridge Community Physicians Inc Cardiovascular Disease CurrentSince Jul 1, 2011 Accepting new patients
Sinai Hospital of Baltimore Inc Cardiovascular Disease CurrentSince May 4, 2013 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince May 4, 2013 Accepting new patients
Lifebridge Community Physicians, Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

2401 W Belvedere Ave
Ofc
Baltimore, MD 21215
Phone (410) 601-1544

1838 Greene Tree Rd
Ste 535
Pikesville, MD 21208
Phone (410) 469-4937

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

Organizations & group practices 8

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 5

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1619012291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD",
            "address_2": "SUITE 535",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212086391",
            "telephone_number": "410-469-4000",
            "fax_number": "410-469-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD",
            "address_2": "SUITE 535",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212086391",
            "telephone_number": "410-469-4000",
            "fax_number": "410-469-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JONATHAN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D65722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412623800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "896945-01",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.