NPIMap

Individual provider Active NPI

Jonathan Andrew Clare, MD

  • Emergency Medicine Physician
  • Baltimore, MD
National Provider Identifier
1821485822
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D0085406 Issued in MD
Practice address
1830 E Monument St Ste 6-100
Baltimore, MD 21287
Phone
(410) 955-5107
NPI assigned
Apr 17, 2015
Reactivated
Aug 15, 2018
Sex
Male
Sole proprietor
No

Organizations & group practices 12

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 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anava Emergency Consultants LLC 14 clinicians
University of Florida Jacksonville Physicians, Inc. 908 clinicians

Practice addresses (Care Compare)

159 N 3Rd St
Macclenny, FL 32063-2103
Phone (904) 259-3151

653 W 8TH St
Jacksonville, FL 32209-6511

655 W 8TH St
Jacksonville, FL 32209-6511

655 W 8TH St
Jacksonville, FL 32231-6511
Phone (904) 244-6340

Hospital & facility affiliations

  • Shands Jacksonville Hospital, Jacksonville, FL, CCN 100001
  • Ed Fraser Memorial Hospital Hospital, Macclenny, FL, CCN 100134

Merit-based Incentive Payment System (MIPS)

Final score
95.04 of 100Reported as group
Quality
95.58
Improvement activities
40
Cost
71.72

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as apm
Quality
59.93
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200618003100 FL Practitioner - Emergency Medicine 8426365529 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0085406MDMDEmergency Medicine Physician
0101262945VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians Inc Emergency Medicine CurrentSince Jun 16, 2020 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
Baker County Medical Services, Inc Emergency Medicine CurrentSince Jan 22, 2024 Accepting new patients
Anava Emergency Consultants LLC CurrentSince Apr 25, 2024 Accepting new patients
Baker County Medical Services Inc CurrentSince Jan 22, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jun 16, 2020 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Jan 13, 2021 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
Anava Hospitalists LLC Past Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

159 N 3rd St
Macclenny, FL 32063
Phone (904) 259-7815

Interoperability endpoints

  • Direct secure messaging: jclare462461@direct.shands.ufl.edu

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101262945 VA
Emergency Medicine Physician 207P00000X D0085406 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

1830 E Monument St Ste 6-100
Baltimore, MD 21287

Mailing address

1830 E Monument St Ste 6-100
Baltimore, MD 21287-0020

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 27, 2018.

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1821485822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 E MONUMENT ST STE 6-100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 E MONUMENT ST STE 6-100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21287",
            "telephone_number": "410-955-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARE",
        "first_name": "JONATHAN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-17",
        "last_updated": "2018-08-27",
        "deactivation_date": "2018-06-22",
        "reactivation_date": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101262945",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0085406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.