Colleen D Jude, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D28544 Issued in MD

Practice address

23348 Nicholson St
Hollywood, MD 20636-3287

Phone

(301) 475-6900

Fax

(240) 256-8728

NPI assigned

Aug 26, 2005

Last updated

Sep 28, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hospital Physician Services, LLLP

  • General Acute Care Hospital
  • Westminster, MD
  • NPI 1457302713

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1982697793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 838",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206500838",
            "telephone_number": "301-475-6900",
            "fax_number": "240-256-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23348 NICHOLSON ST",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206363287",
            "telephone_number": "301-475-6900",
            "fax_number": "240-256-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDE",
        "first_name": "COLLEEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D28544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "756741300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Rice Hughes, MA RN C
• Leah Nicole Hunter
• Megan Ingram
• Bhasker Jhaveri
• Lakita Tyesha Johnson, LMSW
• Anil Kankaria
• Kundan Anil Karkhanis, MD
• Deanna C Kelly, PTA
• Iram A Khan, MD
• Carol Kieber

• Internal Medicine Physician in Hollywood, MD
• Providers in Hollywood, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.