Individual provider Active NPI

Jeffrey L Ukens, MD

  • Family Medicine Physician
  • Centreville, MD
National Provider Identifier
1962430728
Registry record updated Aug 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D63747 Issued in MD
Practice address
2540 Centreville Rd
Centreville, MD 21617-2681
Phone
(410) 758-4432
Fax
(410) 758-1938
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D63747 MD Primary

Addresses

Primary practice location

2540 Centreville Rd
Centreville, MD 21617-2681

Mailing address

2540 Centreville Rd
Centreville, MD 21617-2681
Phone (410) 758-4432

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
I20060327000323 MD Practitioner - Family Practice 7315955788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLC 3,726 clinicians

Practice addresses (Care Compare)

1576 Merritt Blvd
Baltimore, MD 21222-2132
Phone (410) 650-2000

Hospital & facility affiliations

  • Medstar Health Home Care Home health agency, Baltimore, MD, CCN 217068
  • Medstar Franklin Square Medical Center Hospital, Rosedale, MD, CCN 210015

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D63747MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Jul 31, 2017 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jul 31, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Chester Walk-in Center Past Accepting new patients

Locations

5601 Loch Raven Blvd
Ste 102
Baltimore, MD 21239
Phone (410) 581-1200

1576 Merritt Blvd
Ste 14
Dundalk, MD 21222
Phone (410) 650-2000

1576 Merritt Blvd
Dundalk, MD 21222
Phone (410) 650-2000

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 2

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186012800000",
    "number": "1962430728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 CENTREVILLE RD",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216172681",
            "telephone_number": "410-758-4432",
            "fax_number": "410-758-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 CENTREVILLE RD",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216172681",
            "telephone_number": "410-758-4432",
            "fax_number": "410-758-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UKENS",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D63747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, MD

Sources for this page

Verify at the official NPI Registry.