Active NPI
Jennifer Heller, M.D.
- Surgery Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D58738
- Practice address
- 4940 Eastern Ave
Baltimore, MD 21224-2735 - Phone
- (410) 550-0400
- NPI assigned
- May 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D58738 | MD | Primary |
Addresses
Primary practice location
4940 Eastern Ave
Baltimore, MD 21224-2735
Mailing address
PO Box 64563
Baltimore, MD 21264-4563
Phone (410) 550-8346
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 401332800 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- George Washington University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3701 N Charles St
South Chapman Building Suite 102
Towson, MD 21204-6808
6565 N Charles St
Baltimore, MD 21204-5805
6565 N Charles St
Baltimore, MD 21204-6808
6565 N Charles Street
201 Pulmonary Medicine at GBMC
Baltimore, MD 21204-5805
Phone (443) 849-3901
6569 N Charles St
Baltimore, MD 21204-5816
6569 N Charles St
Suite 505
Baltimore, MD 21204-6808
Phone (443) 849-2658
6569 N Charles St PPW Room
307 GYN Specialists
Baltimore, MD 21204-6808
Phone (443) 849-6123
6569 N Charles Street
504 Hoover Low Vision GBMC
Baltimore, MD 21204-6808
Phone (443) 849-2658
6701 N Charles St
Baltamore, MD 21204-6808
6701 N Charles St BLDG
S Chapman BLDG Suite 102
Baltimore, MD 21204-6808
6701 N Charles St Unit
Baltimore, MD 21204-6808
Phone (443) 849-3131
Hospital & facility affiliations
- Bayada Home Health Care, Inc.
- The Johns Hopkins Home Health Services, Inc
- Greater Baltimore Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Removal of tissue | 299 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D58738 | MD | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Baltimore Medical Center, Inc. | Current | Accepting new patients | |
| Greater Baltimore Medical Center, Inc | Current | Accepting new patients | |
| Greater Baltimore Medical Center, Inc. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Greater Baltimore Medical Center, Inc. | Past | Accepting new patients |
Locations
6701 N Charles St
Ste 5104
Baltimore, MD 21204
Phone (443) 849-6123
6701 N Charles St
Ste 4430
Towson, MD 21204
Phone (443) 849-4325
6565 N Charles St
Ste 203
Towson, MD 21204
Phone (410) 828-3760
6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196
6569 N Charles St
Ste 307
Towson, MD 21204
Phone (443) 849-2767
Organizations & group practices 5
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.
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- Obstetrics & Gynecology Physician
- Baltimore, MD
- NPI 1891855763
-
- Hospitalist Physician
- Baltimore, MD
- NPI 1275578106
-
- Sleep Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1538029731
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Medical Oncology Physician
- Baltimore, MD
- NPI 1235167297
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Baltimore, MD
- NPI 1669551321
-
- Home Health Agency
- Forest Hill, MD
- NPI 1528352747
-
- Home Health Agency
- Columbia, MD
- NPI 1558680447
-
- Home Health Agency
- Glen Burnie, MD
- NPI 1578501789
-
- Home Health Agency
- Towson, MD
- NPI 1902843451
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1255372397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360195200000",
"number": "1740231851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64563",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644563",
"telephone_number": "410-550-8346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 EASTERN AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212242735",
"telephone_number": "410-550-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLER",
"first_name": "JENNIFER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-13",
"last_updated": "2013-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D58738",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "401332800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.