Katherine Julia Jacobson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0076742 Issued in MD

Practice address

29 S Paca St Lowr Level
Baltimore, MD 21201-1771

Phone

(667) 214-1800

NPI assigned

Apr 29, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katherine Julia Walsh Former name

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

Specialty

Family Practice

Education

University of Maryland School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

University of Maryland Family Medicine Associates, P.a.Group PAC ID 4183662851, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kjacobson527618@direct.umm.edu

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.

• University of Maryland Family Medicine Associates, P.a.

  • Specialist
  • Baltimore, MD
  • NPI 1053424994
  Medicare reassignment Care Compare group NPD
• University of Maryland Faculty Physicians Immediate Care, LLC

  • Urgent Care Clinic/Center
  • Columbia, MD
  • NPI 1972986271
  Medicare reassignment NPD
• University of Maryland Family Medicine Associates, P.a.

  • Specialist
  • Baltimore, MD
  • NPI 1417764010
  NPD
• University of Maryland Family Medicine Associates, P.a.

  • Specialist
  • Baltimore, MD
  • NPI 1619784014
  NPD

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637884800000",
    "number": "1992022909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 S PACA ST LOWR LEVEL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011771",
            "telephone_number": "667-214-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 S PACA ST LOWR LEVEL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011771",
            "telephone_number": "667-214-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "KATHERINE",
        "middle_name": "JULIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0076742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "WALSH",
            "middle_name": "JULIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rickie Jacobs
• Sheryl Robin Jacobs, PH.D.
• Stephanie Adele Jacobs, MD
• Alan Peter Jacobsen, MB BCH BAO
• Stephen Kelly Jacobsen
• Lisa Jacobson, PH.D.
• Lydia Grace Jacobson
• Robert L Jacobson, LCSW-C
• William Jacobson, D.M.D, M.P.H.
• Douglas Jacobstein, M.D.

• Family Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.