NPIMap

Individual provider Active NPI

Sukhpal I Jassi, M.D

  • Internal Medicine Physician
  • Glen Burnie, MD
National Provider Identifier
1649205238
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0054292 Issued in MD
Practice address
325 Hospital Dr Ste 205
Glen Burnie, MD 21061
Phone
(443) 410-3161
Fax
(443) 410-3199
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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 D0054292 MD Primary

Addresses

Primary practice location

325 Hospital Dr Ste 205
Glen Burnie, MD 21061

Mailing address

325 Hospital Dr Ste 205
Glen Burnie, MD 21061-5807
Phone (443) 410-3161

Other practice location 1

1600 S Crain Hwy
Suite 610
Glen Burnie, MD 21061-6442
Phone (410) 760-9300

Other practice location 2

325 Hospital Dr Ste 205
Glen Burnie, MD 21061
Phone (240) 447-3823

Other identifiers 1

IdentifierTypeStateIssuer
681000400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100308000871 MD Practitioner - Internal MedicinePractitioner - General Practice 6800931353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

325 Hospital Dr
Suite 205
Glen Burnie, MD 21061-5807
Phone (443) 410-3161

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.37 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
77.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jassi Primary Care PA Internal Medicine CurrentSince Feb 1, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

325 Hospital Dr
Ste 205
Glen Burnie, MD 21061
Phone (240) 447-3823

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JADEBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JADEBD/Endpoint/JADEBD
  • Direct secure messaging: sjassi22054@direct.umm.edu

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.

Hospital & facility affiliations 7

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1649205238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 HOSPITAL DR STE 205",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615807",
            "telephone_number": "443-410-3161",
            "fax_number": "443-410-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 HOSPITAL DR STE 205",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "443-410-3161",
            "fax_number": "443-410-3199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 S CRAIN HWY",
            "address_2": "SUITE 610",
            "address_purpose": "LOCATION",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616442",
            "country_code": "US",
            "telephone_number": "410-760-9300",
            "fax_number": "410-760-2581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Hospital Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "21061",
            "country_code": "US",
            "telephone_number": "240-447-3823",
            "fax_number": "301-854-0368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JASSI",
        "first_name": "SUKHPAL",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0054292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "681000400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.