Individual provider Active NPI

Julian Jakobovits, MD

  • Gastroenterology Physician
  • Baltimore, MD
National Provider Identifier
1780615609
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D25039 Issued in MD
Practice address
2835 Smith Avenue
Baltimore, MD 21209
Phone
(410) 580-0900
Fax
(410) 580-0773
NPI assigned
Jul 6, 2006
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X D25039 MD Primary

Addresses

Primary practice location

2835 Smith Avenue
Baltimore, MD 21209

Mailing address

2835 Smith Avenue
Baltimore, MD 21209
Phone (410) 580-0900

Other identifiers 1

IdentifierTypeStateIssuer
26033140MedicaidMD

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
I20101014000904 MD Practitioner - Internal MedicinePractitioner - Gastroenterology 0345432928 Reassigns benefits to 1 organization
I20220125000443 DC Practitioner - Internal Medicine 0345432928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Julian Jakobovits MD LLCGroup PAC ID 2961458393, 2 clinicians

Practice addresses (Care Compare)

2835 Smith Ave
Suite 207
Baltimore, MD 21209-1462
Phone (410) 580-0900

437 Yeshiva LN
Apt 1C
Baltimore, MD 21208-1157
Phone (410) 580-0900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.6 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D25039MDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Julian Jakobovits MD LLC Gastroenterology CurrentSince Apr 17, 2001 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2835 Smith Ave
Baltimore, MD 21209
Phone (410) 358-4243

2835 Smith Ave
#S207
Baltimore, MD 21209
Phone (410) 580-0900

2835 Smith Ave
#S207J
Baltimore, MD 21209

2835 Smith Ave
Ste 207
Baltimore, MD 21209
Phone (410) 358-4243

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1780615609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 SMITH AVENUE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21209",
            "telephone_number": "410-580-0900",
            "fax_number": "410-580-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 SMITH AVENUE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21209",
            "telephone_number": "410-580-0900",
            "fax_number": "410-580-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKOBOVITS",
        "first_name": "JULIAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D25039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26033140",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.