Jessica Decostole, MS, RDN, LDN, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DX3562 Issued in MD

Practice address

5601 Loch Raven Blvd
Good Health Center 2ND Floor
Baltimore, MD 21238

Phone

(443) 444-4912

Fax

(443) 444-4884

NPI assigned

Mar 20, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Greater Baltimore Medical Center 350 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.41 of 100Reported as group

Quality

85.51

Promoting interoperability

100

Improvement activities

40

Cost

65.87

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Greater Baltimore Medical Center, Inc

  • Obstetrics & Gynecology Physician
  • Baltimore, MD
  • NPI 1891855763

  MD

  Medicare reassignment Care Compare group NPD
• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187

  MD

  Medicare reassignment NPD
• Greater Baltimore Medical Center, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1255372397
  Care Compare group
• Greater Baltimore Medical Center, Inc.

  • Community/Retail Pharmacy
  • Baltimore, MD
  • NPI 1356974109
  Care Compare group
• Greater Baltimore Medical Center, Inc.

  • Ophthalmology Physician
  • Baltimore, MD
  • NPI 1164675906
  NPD
• Greater Baltimore Medical Center, Inc.

  • Sleep Medicine (Internal Medicine) Physician
  • Baltimore, MD
  • NPI 1538029731
  NPD
• Greater Baltimore Medical Center, Inc.

  • Medical Oncology Physician
  • Baltimore, MD
  • NPI 1235167297
  NPD (past)
• Medstar Medical Group II LLC

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1376887844
  NPD (past)

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1801280417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 S ELLWOOD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243949",
            "telephone_number": "347-992-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 LOCH RAVEN BLVD",
            "address_2": "GOOD HEALTH CENTER 2ND FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21238",
            "telephone_number": "443-444-4912",
            "fax_number": "443-444-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOSTOLE",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "MS, RDN, LDN, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-20",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX3562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE BOARD OF DIETETIC PRACTICE OF THE STATE OF MARYLAND",
            "identifier": "DX3562",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jade Elizabeth Decker
• Lauren Michelle-Davis Decker
• Zakeeyah Decker
• Donna T Decosta, MD
• Christina Marie Decostanzo-Allen, MS
• Jennifer Marie Decuir, M.D.
• Xheni Deda, MD
• Param Dedhia, M.D.
• Dedicated Imaging of Baltimore
• Hala Deeb, MD

• All providers in Baltimore, MD
• Registered Dietitian in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.