Individual provider Active NPI

Peter R Jay

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Baltimore, MD
National Provider Identifier
1891783114
Registry record updated Jun 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
D54629 Issued in MD
Practice address
2700 Quarry Lake Dr
Suite 300
Baltimore, MD 21209-3742
Phone
(410) 377-8900
Fax
(410) 377-3156
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X D54629 MD Primary

Addresses

Primary practice location

2700 Quarry Lake Dr
Suite 300
Baltimore, MD 21209-3742

Mailing address

2700 Quarry Lake Dr
Suite 300
Baltimore, MD 21209-2230
Phone (410) 377-8900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address peter.jay.1@9012.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050825000860 MD Practitioner - Orthopedic Surgery 2264463504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Yale University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced Orthopaedics LLCGroup PAC ID 8123260981, 599 clinicians

Practice addresses (Care Compare)

2700 Quarry Lake Dr
Baltimore, MD 21209-3742
Phone (410) 377-8900

Hospital & facility affiliations

  • The Johns Hopkins Home Health Services, Inc Home health agency, Baltimore, MD, CCN 217081
  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
  • Greater Baltimore Medical Center Hospital, Baltimore, MD, CCN 210044

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement30
Knee replacement36
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 1, 2016 Accepting new patients
Centers for Advanced Orthopaedics, LLC Adult Reconstructive Orthopaedic Surgery Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 1, 2016 Accepting new patients
Orthopedic Surgery, P.C. Past Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients
Valerie Vullo M.D., LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Orthopaedic Specialty Center Past Accepting new patients

Locations

3 Washington Cir NW
Ste 404
Washington, DC 20037
Phone (202) 333-2820

2700 Quarry Lake Dr
Ste 300
Baltimore, MD 21209

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

1312 Bellona Ave
Ste 302
Lutherville Timonium, MD 21093
Phone (301) 637-8712

4 Park Center Ct
Ste 102
Owings Mills, MD 21117
Phone (410) 377-3484

Interoperability endpoints

  • Direct secure messaging: 38pjay@cfaortho.emadirect.md

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592092800000",
    "number": "1891783114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 QUARRY LAKE DR",
            "address_2": "SUITE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092230",
            "telephone_number": "410-377-8900",
            "fax_number": "410-377-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 QUARRY LAKE DR",
            "address_2": "SUITE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093742",
            "telephone_number": "410-377-8900",
            "fax_number": "410-377-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAY",
        "first_name": "PETER",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2020-06-14",
        "certification_date": "2020-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MD",
            "license": "D54629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peter.jay.1@9012.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2700 Quarry Lake Dr",
            "address_2": "Suite 300",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212093742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.