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Individual provider Active NPI

Jasmine Niquelle Manley, MD

  • Nephrology Physician
  • Lutherville, MD
National Provider Identifier
1780171090
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D98539 Issued in MD
Practice address
1205 York Rd Ste 26
Lutherville, MD 21093-6211
Phone
(410) 532-1640
Fax
(410) 321-5787
NPI assigned
Apr 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X D98539 MD Primary

Addresses

Primary practice location

1205 York Rd Ste 26
Lutherville, MD 21093-6211

Mailing address

1589 Sulphur Spring Rd Ste 109
Baltimore, MD 21227-2542
Phone (410) 536-5400

Other names 1

  • Jasmine Niquelle Reid Manley Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230925001884 MD Practitioner - Nephrology 2961753926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Atlantic Nephrology Associates PAGroup PAC ID 2769469006, 60 clinicians

Practice addresses (Care Compare)

1205 York Rd
Lutherville, MD 21093-6211
Phone (410) 532-1640

Hospital & facility affiliations

  • Homewood Dialysis Clinic LLC Dialysis facility, Baltimore, MD, CCN 212577
  • DaVita Windsor Dialysis Dialysis facility, Windsor Mill, MD, CCN 212632
  • DaVita Bertha Sirk Dialysis Center Dialysis facility, Baltimore, MD, CCN 212543
  • Sinai Hospital of Baltimore Hospital, Baltimore, MD, CCN 210012
  • Northwest Hospital Center Hospital, Randallstown, MD, CCN 210040
  • Medstar Franklin Square Medical Center Hospital, Rosedale, MD, CCN 210015
  • University of MD St Joseph Medical Center Hospital, Towson, MD, CCN 210063
  • Levindale Hebrew Geriatric Center and Hospital Hospital, Baltimore, MD, CCN 210064

Merit-based Incentive Payment System (MIPS)

Final score
19.37 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
64.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D98539MDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Nephrology Associates PA Nephrology CurrentSince May 19, 2024 Accepting new patients
Mid-Atlantic Nephrology Associates PA Nephrology CurrentSince May 19, 2024 Accepting new patients
Mid-Atlantic Nephrology Associates PA Nephrology CurrentSince Oct 30, 2023 Accepting new patients
Mid-Atlantic Nephrology Associates PA Nephrology PastSince Oct 5, 2025 Accepting new patients

Locations

1589 Sulphur Spring Rd
Ste 109
Halethorpe, MD 21227
Phone (410) 536-5400

1205 York Rd
Ste 26
Lutherville, MD 21093
Phone (410) 532-1640

7106 Ridge Rd
Ste 155
Rosedale, MD 21237
Phone (443) 559-8705

8501 La Salle Rd
Ste 103
Towson, MD 21286
Phone (410) 532-1640

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1780171090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 SULPHUR SPRING RD STE 109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212272542",
            "telephone_number": "410-536-5400",
            "fax_number": "410-737-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 YORK RD STE 26",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936211",
            "telephone_number": "410-532-1640",
            "fax_number": "410-321-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "JASMINE",
        "middle_name": "NIQUELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D98539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASMINE",
            "last_name": "REID MANLEY",
            "middle_name": "NIQUELLE",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.