DR. JUDITH RUBIN DEJARNETTE MD
NPI 1841355179
Pediatrics in Nottingham, MD
About Dr. Judith Rubin Dejarnette Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JUDITH RUBIN DEJARNETTE MD (NPI 1841355179) is an individual pediatrics provider in Nottingham, Maryland, licensed in Maryland (D31652) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Judith Rubin Dejarnette Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Judith Dejarnette reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Abingdon, MD 21009
- Reassigned Medicare billing, Maryland enrollment
- 1,253 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21236
NOTTINGHAM, MD 21236
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Judith Dejarnette's NPI number?
The NPI number for Judith Dejarnette is 1841355179. It was assigned to this individual provider in the NPPES registry on December 27, 2006. The provider is also known as Judith Phyllis Rubin M.D..
Where is Judith Dejarnette located?
Judith Dejarnette practices at 4920 Campbell Blvd, Nottingham, MD 21236. The listed phone number is (410) 933-7600.
What is Judith Dejarnette's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Judith Dejarnette enrolled in Medicare?
Yes. Judith Dejarnette is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Judith Dejarnette's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Judith Dejarnette reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Abingdon, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Judith Dejarnette's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Judith Dejarnette was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Judith Rubin Dejarnette, MD · NPI 1841355179
Pediatrics physician in Nottingham, Maryland. Individual provider, active in the CMS NPPES registry since December 27, 2006.
## Identity
- **NPI:** 1841355179 (Entity type: Individual)
- **Enumerated:** December 27, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** D31652 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 4920 CAMPBELL BLVD, Nottingham, MD 21236-5916
- **Phone:** (410) 933-7600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1265971873, Abingdon, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 10, 2022
- **Other identifiers:** Medicaid 406601440 (MD)
---
Source: [NPI Profile](https://npiprofile.com/npi/1841355179) · Data from the CMS NPPES public registry.