Individual provider Active NPI

Jessica Ann Cronin, MD

  • Anesthesiology Physician
  • Columbia, MD
National Provider Identifier
1730405283
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D76444 Issued in MD
Practice address
11085 Little Patuxent Pkwy
Medical Arts BLDG, 004
Columbia, MD 21044-2983
Phone
(410) 730-0099
NPI assigned
Apr 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D76444 MD Primary

Addresses

Primary practice location

11085 Little Patuxent Pkwy
Medical Arts BLDG, 004
Columbia, MD 21044-2983

Mailing address

6006 Sonoma Rd
Bethesda, MD 20817-3453
Phone (917) 855-1428

Other names 1

  • Jessica Ann Morgan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20150806010898 MD Practitioner - Anesthesiology 2567611205 Reassigns benefits to 1 organization
I20170207001022 DC Practitioner - Anesthesiology 2567611205 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D76444MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital CurrentSince Nov 19, 2016 Accepting new patients
Johns Hopkins University Anesthesiology CurrentSince Jul 1, 2015 Accepting new patients
Children'S Hospital Current Accepting new patients
Johns Hopkins University Current Accepting new patients
Children'S Hospital CurrentSince Nov 19, 2016 Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2015 Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

600 N Wolfe St
Baltimore, MD 21287

11085 Little Patuxent Pkwy
Bldg 4
Columbia, MD 21044
Phone (410) 730-0099

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

Organizations & group practices 6

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": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1730405283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6006 SONOMA RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173453",
            "telephone_number": "917-855-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11085 LITTLE PATUXENT PKWY",
            "address_2": "MEDICAL ARTS BLDG, 004",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442983",
            "telephone_number": "410-730-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONIN",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D76444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MORGAN",
            "middle_name": "ANN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.