Active NPI
Jerome Segal, M.D.
- Cardiovascular Disease Physician
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- D0056089
- Practice address
- 888 Bestgate Rd
Suite 208
Annapolis, MD 21401-3091 - Phone
- (410) 897-0822
- Fax
- (410) 897-0095
- NPI assigned
- Aug 15, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0056089 | MD | |
| Cardiovascular Disease Physician | 207RC0000X | D0056089 | MD | Primary |
Addresses
Primary practice location
888 Bestgate Rd
Suite 208
Annapolis, MD 21401-3091
Mailing address
PO Box 62681
Baltimore, MD 21264-2681
Phone (443) 481-6577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 074931101 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Tufts University School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
129 Lubrano Dr
Suite 301
Annapolis, MD 21401-7568
Phone (443) 607-2299
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0056089 | MD | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Annapolis Heart LLC | Cardiovascular Disease | Current | Accepting new patients |
| Capitol Cardiologic, LLP | Cardiovascular Disease | Current | Accepting new patients |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| J. Segal, MD, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Luminis Health Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients |
Locations
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750
128 Lubrano Dr
Ste 301
Annapolis, MD 21401
Phone (410) 544-4263
2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601
129 Lubrano Dr
Ste 301
Annapolis, MD 21401
Phone (410) 224-2626
888 Bestgate Rd
Ste 210
Annapolis, MD 21401
Phone (410) 267-7978
2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366
888 Bestgate Rd
Ste 208
Annapolis, MD 21401
Phone (410) 571-1280
2000 Medical Pkwy
Ste 510
Annapolis, MD 21401
Phone (443) 481-4600
4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199
1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300
2000 Medical Pkwy
Cpe St Claire, MD 21401
Phone (443) 481-3400
Interoperability endpoints
- jerome.segal.3@29927.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Annapolis, MD
- NPI 1134991987
-
- Cardiovascular Disease Physician
- Annapolis, MD
- NPI 1447977293
-
- Cardiovascular Disease Physician
- Annapolis, MD
- NPI 1427109776
-
- Maternal & Fetal Medicine Physician
- Annapolis, MD
- NPI 1073580205
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Annapolis, MD
- NPI 1184691313
-
- Internal Medicine Physician
- Bowie, MD
- NPI 1720835010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382313600000",
"number": "1679765481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 62681",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212642681",
"telephone_number": "443-481-6577",
"fax_number": "443-481-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 BESTGATE RD",
"address_2": "SUITE 208",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013091",
"telephone_number": "410-897-0822",
"fax_number": "410-897-0095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGAL",
"first_name": "JEROME",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-15",
"last_updated": "2013-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0056089",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MD",
"license": "D0056089",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "074931101",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; 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.