Individual provider Active NPI

Jerome Segal, M.D.

  • Cardiovascular Disease Physician
  • Annapolis, MD
National Provider Identifier
1679765481
Registry record updated Oct 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0056089 Issued in MD
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

Updated by the provider on Oct 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
074931101MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20090330000328 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0941367387 Reassigns benefits to 1 organization
I20091006000277 MD Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0941367387 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
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

LicenseStateTypeSpecialty
D0056089MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Annapolis Heart LLC Cardiovascular Disease CurrentSince Dec 1, 2023 Accepting new patients
Capitol Cardiologic, LLP Cardiovascular Disease CurrentSince Jan 7, 2012 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Jul 8, 2014 Accepting new patients
J. Segal, MD, LLC Cardiovascular Disease CurrentSince Sep 27, 2023 Accepting new patients
Luminis Health Medical Group, LLC Internal Medicine CurrentSince Jul 1, 2013 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Jul 1, 2013 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.