Individual provider Active NPI

Susan Jacobsen Pankratz, MD

  • Family Medicine Physician
  • Rockville, MD
National Provider Identifier
1992820146
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0055639 Issued in MD
Practice address
12320 Parklawn Dr
Rockville, MD 20852-1726
Phone
(301) 493-2400
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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 D0055639 MD Primary

Addresses

Primary practice location

12320 Parklawn Dr
Rockville, MD 20852-1726

Mailing address

12320 Parklawn Dr
Rockville, MD 20852-1726
Phone (301) 493-2400

Other identifiers 1

IdentifierTypeStateIssuer
300259400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20050321000115 DC Practitioner - Family Practice 3971558263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Perelman School of Med at the University of Pennsylvania, 1990
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12320 Parklawn Dr
Rockville, MD 20852-1726

PO Box
Suite 95590
South Jordan, UT 84095

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Care for Your Health, Inc Family Medicine CurrentSince Oct 13, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Pastoral Family Counseling Associates LLC PastSince May 30, 2023 Accepting new patients

Locations

13925 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 844-2552

11120 New Hampshire Ave
Ste 509
Silver Spring, MD 20904
Phone (240) 844-2552

Interoperability endpoints

  • Direct secure messaging: susan.pankratz@c4yh.eclinicaldirectplus.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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1992820146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 PARKLAWN DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521726",
            "telephone_number": "301-493-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12320 PARKLAWN DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521726",
            "telephone_number": "301-493-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANKRATZ",
        "first_name": "SUSAN",
        "middle_name": "JACOBSEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0055639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300259400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.