Individual provider Active NPI

Jeffrey Clark Schmidlein, MD

  • Internal Medicine Physician
  • Severna Park, MD
National Provider Identifier
1962474023
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D30741 Issued in MD
Practice address
844 Ritchie Hwy
Ste 206
Severna Park, MD 21146-4137
Phone
(410) 647-8300
Fax
(410) 315-8444
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 D30741 MD Primary

Addresses

Primary practice location

844 Ritchie Hwy
Ste 206
Severna Park, MD 21146-4137

Mailing address

844 Ritchie Hwy
Suite 206
Severna Park, MD 21146
Phone (410) 647-8300

Other identifiers 18

IdentifierTypeStateIssuer
110236249OtherMCRR
522166976OtherTAX ID #
7495JCOtherMC
06246OtherAMERICAID
522166976OtherALL OTHER INS.
0553696119OtherUHC HMO
06731OtherPHN
25990OtherPRIORITY
866083OtherMD/OP/ALLIANCE
486781500MedicaidMD
T1980001OtherBSFED
T1980001OtherBLUE CHOICE
2161151OtherUS AETNA (HMO)
486781500OtherMA
11129OtherBS POS
1S18OtherBS
25990OtherEHP
4324896OtherAETNA

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
I20120112000147 MD Practitioner - Internal Medicine 3375710551 Practice locations: Severna Park, MD

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers School of Dental Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

844 Ritchie Hwy
Suite 206
Severna Park, MD 21146-4137
Phone (410) 647-8300

Hospital & facility affiliations

  • The Johns Hopkins Home Health Services, Inc Home health agency, Baltimore, MD, CCN 217081

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey C. Schmidlein, MD Internal Medicine PastSince Jan 1, 1975 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jeffrey.schmidlein.1@7265.direct.athenahealth.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 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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962474023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 RITCHIE HWY",
            "address_2": "SUITE 206",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "21146",
            "telephone_number": "410-647-8300",
            "fax_number": "410-315-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 RITCHIE HWY",
            "address_2": "STE 206",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464137",
            "telephone_number": "410-647-8300",
            "fax_number": "410-315-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDLEIN",
        "first_name": "JEFFREY",
        "middle_name": "CLARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D30741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR",
            "identifier": "110236249",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "522166976",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC",
            "identifier": "7495JC",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAID",
            "identifier": "06246",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL OTHER INS.",
            "identifier": "522166976",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC HMO",
            "identifier": "0553696119",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHN",
            "identifier": "06731",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY",
            "identifier": "25990",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD/OP/ALLIANCE",
            "identifier": "866083",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "486781500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSFED",
            "identifier": "T1980001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "T1980001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US AETNA (HMO)",
            "identifier": "2161151",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA",
            "identifier": "486781500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS POS",
            "identifier": "11129",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "1S18",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EHP",
            "identifier": "25990",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4324896",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

Verify at the official NPI Registry.