Individual provider Active NPI

Jody Robert Tversky, M.D.

  • Allergy Physician
  • Baltimore, MD
National Provider Identifier
1619014263
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
5458 Issued in MD
Practice address
5501 Hopkins Bayview Cir
Baltimore, MD 21224-6821
Phone
(410) 550-2300
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X ME166351 FL
Internal Medicine Physician 207R00000X 042352 CT
Internal Medicine Physician 207R00000X MD-13065 HI
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 250668 NY
Allergy & Immunology (Internal Medicine) Physician 207RA0201X D66119 MD
Allergy Physician 207KA0200X 5458 MD Primary

Addresses

Primary practice location

5501 Hopkins Bayview Cir
Baltimore, MD 21224-6821

Mailing address

PO Box 64264
Baltimore, MD 21264-4264
Phone (410) 550-2300

Other practice location 1

270 W Hillsboro Blvd
Deerfield Beach, FL 33441-3322
Phone (888) 231-8207

Other practice location 2

907 S Main St Ste A
Hampstead, MD 21074-2273
Phone (888) 231-8207

Other identifiers 3

IdentifierTypeStateIssuer
D0066119OtherMDMARYLAND STATE MEDICAL LICENSE
MD-13065OtherHIHAWAII MEDICAL LICENSE
042352OtherCTCT STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20121029000139 MD Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 7810958634 Reassigns benefits to 2 organizations
I20250401002808 FL Practitioner - Allergy/Immunology 7810958634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians
Clearall Professional CorporationGroup PAC ID 5294100335, 2 clinicians

Practice addresses (Care Compare)

1800 Orleans St
Baltimore, MD 21287-0010
Phone (410) 955-5000

270 W Hillsboro Blvd
Deerfield Beach, FL 33441-3322
Phone (888) 231-8207

4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0100

5601 Lloch Raven Blvd
Baltimore, MD 21239-2945
Phone (443) 444-4714

600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000

600 N Wolfe St
Blalock 266
Baltimore, MD 21287-0005
Phone (410) 502-4340

6201 Greenleigh Ave
Middle River, MD 21220-2004

907 S Main St
Suite a
Hampstead, MD 21074-2273
Phone (888) 231-8207

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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
5458MDMDDentist
042352CTMDInternal Medicine Physician
MD-13065HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clearall Professional Corporation Allergy CurrentSince Jan 20, 2023 Accepting new patients
Johns Hopkins University Current Accepting new patients
Clearall Professional Corporation Allergy CurrentSince Mar 11, 2025 Accepting new patients

Locations

270 W Hillsboro Blvd
Deerfield Beach, FL 33441
Phone (888) 231-8207

600 N Wolfe St
Baltimore, MD 21287

5410 Ritchie Hwy
Ste A
Brooklyn Park, MD 21225
Phone (410) 636-1470

907 S Main St
Ste A
Hampstead, MD 21074
Phone (410) 239-3100

7500 Montpelier Rd
Ste 150
Laurel, MD 20723

Interoperability endpoints

  • Direct secure messaging: jtversky34621@direct.hopkinsmedicine.org

Organizations & group practices 3

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1619014263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64264",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644264",
            "telephone_number": "410-550-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 HOPKINS BAYVIEW CIR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212246821",
            "telephone_number": "410-550-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 W Hillsboro Blvd",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334413322",
            "country_code": "US",
            "telephone_number": "888-231-8207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "907 S Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Hampstead",
            "state": "MD",
            "postal_code": "210742273",
            "country_code": "US",
            "telephone_number": "888-231-8207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TVERSKY",
        "first_name": "JODY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "FL",
            "license": "ME166351",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "042352",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-13065",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "NY",
            "license": "250668",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "MD",
            "license": "D66119",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MD",
            "license": "5458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND STATE MEDICAL LICENSE",
            "identifier": "D0066119",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII MEDICAL LICENSE",
            "identifier": "MD-13065",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT STATE LICENSE",
            "identifier": "042352",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.