Active NPI
Jacqueline Marie Robinson
- Trauma Surgery Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- D0100112
- Practice address
- 22 S Greene St
Baltimore, MD 21201-1544 - Phone
- (667) 234-6000
- NPI assigned
- Jul 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | D0100112 | MD | Primary |
Addresses
Primary practice location
22 S Greene St
Baltimore, MD 21201-1544
Mailing address
22 S Greene St
Baltimore, MD 21201-1544
Phone (248) 508-1581
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52-0591657 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- 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
- Critical Care (Intensivists)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-6704
Hospital & facility affiliations
- University of Maryland Medical Center
- Umd Upper Chesapeake Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0100112 | MD | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dimensions Healthcare Associates Inc | Multi-Specialty | Current | Accepting new patients |
| Shock Trauma Associates, P.a. | Multi-Specialty | Current | Accepting new patients |
| Dimensions Health Associates Dba University of Maryland Capital Region | Multi-Specialty | Current | Accepting new patients |
| Dimensions Healthcare Associates, Inc. | Multi-Specialty | Current | Accepting new patients |
| University of Maryland Medical Center, LLC | Multi-Specialty | Past | Accepting new patients |
| Dimensions Healthcare Associates Inc | Multi-Specialty | Past | Accepting new patients |
Locations
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010
900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010
251 National Harbor Blvd
Fl 5
Oxon Hill, MD 20745
Phone (301) 618-2273
901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021
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.
-
- Emergency Care Clinic/Center
- Baltimore, MD
- NPI 1679512909
Multi-Specialty
-
- Anesthesiology Physician
- Largo, MD
- NPI 1346354834
DC, Multi-Specialty
-
- Internal Medicine Physician
- Oxon Hill, MD
- NPI 1407486293
Multi-Specialty
-
- Critical Care Medicine (Internal Medicine) Physician
- Laurel, MD
- NPI 1386706562
Multi-Specialty
-
- Internal Medicine Physician
- Laurel, MD
- NPI 1487714168
Multi-Specialty
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
Multi-Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
-
- General Acute Care Hospital
- Bel Air, MD
- NPI 1598761355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1780170753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 S GREENE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544",
"telephone_number": "248-508-1581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S GREENE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544",
"telephone_number": "667-234-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "JACQUELINE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-02",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Trauma Surgery",
"state": "MD",
"license": "D0100112",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "52-0591657",
"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 Jul 12, 2024; 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.