Individual provider Active NPI

Jeffrey Nusbaum

  • Emergency Medicine Physician
  • Baltimore, MD
National Provider Identifier
1821415019
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D0091740 Issued in MD
Practice address
827 Linden Ave
Baltimore, MD 21201-4606
Phone
(410) 328-8141
Fax
(410) 328-0177
NPI assigned
Mar 25, 2014
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD463342 PA
Emergency Medicine Physician 207P00000X D0091740 MD Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X D0091740 MD
Pulmonary Disease Physician 207RP1001X D0091740 MD

Addresses

Primary practice location

827 Linden Ave
Baltimore, MD 21201-4606

Mailing address

3600 Forbes Ave
Forbes Tower Plaza Level Suite 140
Pittsburgh, PA 15213-3410

Other practice location 1

5230 Centre Ave
Department of Emergency Medicine
Pittsburgh, PA 15232-1304
Phone (917) 364-8826

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 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
I20180606001603 PA Practitioner - Emergency Medicine 2062777451 Reassigns benefits to 1 organization
I20210716000299 MD Practitioner - Emergency MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 2062777451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Critical Care (Intensivists), Pulmonary Disease
Education
Georgetown University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

821 N Eutaw St
Baltimore, MD 21201-4648
Phone (410) 328-8025

827 Linden Ave
Baltimore, MD 21201-4606
Phone (410) 328-8025

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD463342PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Critical Care Medicine CurrentSince Jun 1, 2018 Accepting new patients
University of Maryland Emergency Medicine Associates, PA Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jun 1, 2018 Accepting new patients
University of Maryland Physicians P.a. CurrentSince Sep 1, 2025 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Maryland Physicians P.a. Current Accepting new patients
University of Maryland Physicians P.a. Critical Care Medicine CurrentSince Sep 1, 2025 Accepting new patients

Locations

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

821 N Eutaw St
Baltimore, MD 21201
Phone (410) 225-9185

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

3600 Forbes Ave
Ste 140
Pittsburgh, PA 15213

5230 Centre Ave
Shadyside, PA 15232
Phone (412) 623-2167

Organizations & group practices 7

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 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": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1821415019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FORBES AVE",
            "address_2": "FORBES TOWER PLAZA LEVEL SUITE 140",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 LINDEN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014606",
            "telephone_number": "410-328-8141",
            "fax_number": "410-328-0177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5230 Centre Ave",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152321304",
            "country_code": "US",
            "telephone_number": "917-364-8826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUSBAUM",
        "first_name": "JEFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-25",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD463342",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0091740",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MD",
            "license": "D0091740",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D0091740",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.