Jasmine Malcolm, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

D0073819 Issued in MD

Practice address

174 Thomas Johnson Dr Ste 100
Frederick, MD 21702-4569

Phone

(301) 662-2000

Fax

(301) 662-2500

NPI assigned

Feb 12, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

University of Minnesota Medical School, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Frederick Health Hospital Hospital, Frederick, MD, CCN 210005

Merit-based Incentive Payment System (MIPS)

Final score

82.34 of 100Reported as group

Quality

67.9

Promoting interoperability

100

Improvement activities

40

Cost

69.47

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jasmine.malcolm@3501.securemail.prognocis.com

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.

• Phoenix Surgical Care LLC

  dba Phoenix Surgical Care

  • Surgery Physician
  • Frederick, MD
  • NPI 1518593797
  Medicare reassignment NPD Authorized official
• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187
  Medicare reassignment NPD
• Atlantic General Hospital Corporation

  dba Atlantic General Health System

  • Family Medicine Physician
  • Berlin, MD
  • NPI 1871582171

  Surgery

  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Bradford Regional Medical Services

  • Family Medicine Physician
  • Bradford, PA
  • NPI 1144273814

  Surgery

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1750520888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 THOMAS JOHNSON DR STE 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024569",
            "telephone_number": "301-662-2000",
            "fax_number": "301-662-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 THOMAS JOHNSON DR STE 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024569",
            "telephone_number": "301-662-2000",
            "fax_number": "301-662-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Hospital Rd",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Prince Frederick",
            "state": "MD",
            "postal_code": "206784019",
            "country_code": "US",
            "telephone_number": "410-414-9017",
            "fax_number": "410-414-9019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 W 7th St",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "21701",
            "country_code": "US",
            "telephone_number": "240-575-2526",
            "fax_number": "240-439-8910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALCOLM",
        "first_name": "JASMINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-12",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0073819",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101244373",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331903200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raheleh Makhmalbaf, D.M.D
• Aileen Maknati
• Abdul Khadri Mako, BSC ECONS
• Modester Makukuls
• Mala Mantis Counseling, LLC
• Diego Emilio Maldonado, DDS
• Auryana J Malek
• Anwar K. Malik, M.B.,B.S.
• Jawad Malik, M.D.
• Muneeb S Malik, MD

• Surgery Physician in Frederick, MD
• Providers in Frederick, MD by specialty
• Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.

Verify at the official NPI Registry.