NPIMap

Individual provider Active NPI

Jaroslaw Hepel, MD

  • Radiation Oncology Physician
  • Towson, MD
National Provider Identifier
1790805968
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
D0069026 Issued in MD
Practice address
6701 N Charles St
Suite 1400
Towson, MD 21204-6808
Phone
(443) 849-2540
Fax
(443) 849-2595
NPI assigned
Mar 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 223280 MA
Radiation Oncology Physician 2085R0001X MD13055 RI
Radiation Oncology Physician 2085R0001X D0069026 MD Primary

Addresses

Primary practice location

6701 N Charles St
Suite 1400
Towson, MD 21204-6808

Mailing address

PO Box 64984
Baltimore, MD 21264-4984
Phone (443) 849-2540

Other practice location 1

101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1122

Other identifiers 1

IdentifierTypeStateIssuer
022366200MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100729000190 MA Practitioner - Radiation Oncology 3072582634 Reassigns benefits to 1 organization
I20100925000238 RI Practitioner - Radiation Oncology 3072582634 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Rochester School of Medicine and Dentistry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Radiosurgery Center of Rhode Island LLCGroup PAC ID 0345393559, 9 clinicians
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Practice addresses (Care Compare)

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-3600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223280MAMDRadiation Oncology Physician
D0069026MDMDRadiation Oncology Physician
MD13055RIMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Radiosurgery Center of Rhode Island LLC Radiation Oncology CurrentSince Sep 1, 2010 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Rhode Island Hospital CurrentSince Apr 1, 2024 Accepting new patients
Rhode Island Hospital CurrentSince Apr 1, 2024 Accepting new patients
Pratt Radiation Oncology Associates Inc Radiation Oncology CurrentSince May 26, 2010 Accepting new patients
Women & Infants Hospital of Rhode Island Past Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

1454 S County Trl
Ste 1400
East Greenwich, RI 02818
Phone (844) 222-2881

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

593 Eddy St
Bsmt Apc
Providence, RI 02903
Phone (401) 444-8311

593 Eddy St
Providence, RI 02903

101 Dudley St
Providence, RI 02905
Phone (401) 453-7950

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

Interoperability endpoints

  • Direct secure messaging: jhepel29426@tuftsmedicine.direct-ci.com
  • Direct secure messaging: jhepel@kent.cernerdirect.carene.org

Organizations & group practices 8

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 6

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1790805968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64984",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644984",
            "telephone_number": "443-849-2540",
            "fax_number": "443-849-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 N CHARLES ST",
            "address_2": "SUITE 1400",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046808",
            "telephone_number": "443-849-2540",
            "fax_number": "443-849-2595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Dudley St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029052401",
            "country_code": "US",
            "telephone_number": "401-274-1122",
            "fax_number": "401-453-7529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEPEL",
        "first_name": "JAROSLAW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MA",
            "license": "223280",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "RI",
            "license": "MD13055",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MD",
            "license": "D0069026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022366200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.