NPIMap

Individual provider Active NPI

Jonathan David Rich, D.O.

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1871590844
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H0062638 Issued in MD
Practice address
301 St. Paul Place
Suite 603 Prof Office BLDG
Baltimore, MD 21202
Phone
(410) 332-9680
Fax
(410) 332-9669
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H0062638 MD Primary

Addresses

Primary practice location

301 St. Paul Place
Suite 603 Prof Office BLDG
Baltimore, MD 21202

Mailing address

301 Saint Paul St Ste 603
Baltimore, MD 21202-2102
Phone (410) 333-9680

Other identifiers 1

IdentifierTypeStateIssuer
89129XXMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20051029000189 MD Practitioner - Internal Medicine 8527054741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maryland Family Care IncGroup PAC ID 5092629394, 157 clinicians

Practice addresses (Care Compare)

301 Saint Paul St
Baltimore, MD 21202-2102
Phone (410) 659-0808

Hospital & facility affiliations

  • Stella Maris, Inc. Home health agency, Timonium, MD, CCN 217072
  • PHR of Baltimore, Inc. Home health agency, Baltimore, MD, CCN 217036
  • The Johns Hopkins Home Health Services, Inc Home health agency, Baltimore, MD, CCN 217081
  • Centerwell Home Health Home health agency, Columbia, MD, CCN 217071
  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
  • Mercy Medical Center Inc Hospital, Baltimore, MD, CCN 210008
  • Johns Hopkins Bayview Medical Center Hospital, Baltimore, MD, CCN 210029
  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009
  • Transitional Care Services at Mercy Medical Center Nursing home, Baltimore, MD, CCN 215283

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0062638MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Family Care, Inc. Internal Medicine CurrentSince Jun 1, 2007 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Simon V. Scalia M.D. LLC Past Accepting new patients

Locations

2801 Hudson St
Baltimore, MD 21224
Phone (410) 342-4142

301 Saint Paul St
Ste 603
Baltimore, MD 21202
Phone (410) 332-9680

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

2801 Hudson St
Ste A
Baltimore, MD 21224
Phone (410) 342-4142

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

Interoperability endpoints

  • Direct secure messaging: jrich6310@direct.mdmercy.com

Organizations & group practices 3

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1871590844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SAINT PAUL ST STE 603",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022102",
            "telephone_number": "410-333-9680",
            "fax_number": "410-332-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ST. PAUL PLACE",
            "address_2": "SUITE 603 PROF OFFICE BLDG",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21202",
            "telephone_number": "410-332-9680",
            "fax_number": "410-332-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "H0062638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89129XX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.