Individual provider Active NPI

Jeffrey D Marshall, M.D., MPH, MS

  • Pulmonary Disease Physician
  • Glen Burnie, MD
National Provider Identifier
1780978114
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
D85166 Issued in MD
Practice address
301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone
(410) 787-4530
NPI assigned
Jun 2, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X D85166 MD
Pulmonary Disease Physician 207RP1001X 053953 CT
Pulmonary Disease Physician 207RP1001X D85166 MD Primary
Clinical Ethicist 174V00000X D85166 MD
Internal Medicine Physician 207R00000X D85166 MD

Addresses

Primary practice location

301 Hospital Dr
Glen Burnie, MD 21061-5803

Mailing address

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (203) 785-4198

Other practice location 1

20 York St
FB 209
New Haven, CT 06510-3220
Phone (203) 785-4198

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
I20180830001494 MD Practitioner - Internal Medicine 6901023449 Reassigns benefits to 2 organizations
I20200608001108 DC Practitioner - Internal Medicine 6901023449 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Icahn School of Medicine at Mount Sinai, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 787-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
053953CTMDPulmonary Disease Physician
D85166MDMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dimensions Health Associates Dba University of Maryland Capital Region Internal Medicine CurrentSince Mar 1, 2024 Accepting new patients
Johns Hopkins Community Physicians Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients
Johns Hopkins Community Physicians, Inc Internal Medicine Current Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 12, 2020 Accepting new patients
Dimensions Healthcare Associates, Inc. Current Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jul 30, 2018 Accepting new patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jul 30, 2018 Accepting new patients
Dimensions Healthcare Associates Inc CurrentSince Mar 1, 2024 Accepting new patients
Baltimore Washington Medical Center Inc. Critical Care Medicine Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010

219 S Washington St
Easton, MD 21601

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

7150 Contee Rd
Laurel, MD 20707
Phone (240) 677-7200

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

Interoperability endpoints

  • Direct secure messaging: jmarshall668883@direct.hopkinsmedicine.org
  • Direct secure messaging: jmarshall534678@direct.umm.edu

Organizations & group practices 11

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 1

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": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1780978114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HOSPITAL DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615803",
            "telephone_number": "203-785-4198",
            "fax_number": "203-737-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HOSPITAL DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615803",
            "telephone_number": "410-787-4530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 York St",
            "address_2": "FB 209",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103220",
            "country_code": "US",
            "telephone_number": "203-785-4198",
            "fax_number": "203-737-5453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D., MPH, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-02",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MD",
            "license": "D85166",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "053953",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D85166",
            "primary": true
        },
        {
            "code": "174V00000X",
            "taxonomy_group": "",
            "desc": "Clinical Ethicist",
            "state": "MD",
            "license": "D85166",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D85166",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.