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MATTHEW JACKSON MD
NPI 1952152845
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since March 28, 2024PECOS Enrolled
110 S PACA ST, 6TH FLOOR, SUITE 200, BALTIMORE, MD 21201(667) 214-2208 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Jackson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW JACKSON MD (NPI 1952152845) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952152845
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW JACKSONCredential: MD
Location Address110 S PACA ST, 6TH FLOOR, SUITE 200Baltimore, MD 21201
Mailing Address110 S Paca St, 6th Floor, Suite 200Baltimore, MD 21201 · (667) 214-2208
Phone(667) 214-2208
Sole ProprietorNo
Enumeration DateMarch 28, 2024
NPPES CertifiedMarch 28, 2024
✔ NPI 1952152845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
110 S PACA ST, Baltimore, MD 21201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Jackson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. JASJIT B ATWAL M.D.
Anesthesiology
110 S PACA ST, SUITE 300 6TH FL
BALTIMORE, MD 21201
Baltimore City (410) 328-6720
SIAMAK MOAYEDI M.D.
Emergency Medicine
110 S PACA ST, SIXTH FLOOR, SUITE 200
BALTIMORE, MD 21201
Baltimore City (410) 328-8025
JUDY PAN MD
Otolaryngology (Plastic Surgery within the Head & Neck)
110 S PACA ST
BALTIMORE, MD 21201
Baltimore City (410) 328-3058
JOHNS HOPKINS COMMUNITY PHYSICIANS, INC
Internal Medicine
110 S PACA ST
BALTIMORE, MD 21201
Baltimore City (410) 955-5000
DR. ILEANA GHEORGHIU M.D.
Anesthesiology
110 S PACA ST, SUITE 300 6TH FL
BALTIMORE, MD 21201
Baltimore City (410) 328-6720
DR. ABDULAZIZ H ALBURAIH M.D
Hospitalist
110 S PACA ST
BALTIMORE, MD 21201
Baltimore City (617) 636-5025
MAELEE GRACE WILLIAMSON MD
Student in an Organized Health Care Education/Training Program
110 S PACA ST, 6TH FLOOR, SUITE 200
BALTIMORE, MD 21201
Baltimore City (667) 214-2208
DR. SHOBANA BHARADWAJ M.D.
Anesthesiology
110 S PACA ST, SUITE 300 6TH FL
BALTIMORE, MD 21201
Baltimore City (410) 328-6720

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 Matthew Jackson's NPI number?

The NPI number for Matthew Jackson is 1952152845. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Where is Matthew Jackson located?

Matthew Jackson practices at 110 S Paca St 6th Floor, Suite 200, Baltimore, MD 21201. The listed phone number is (667) 214-2208.

What is Matthew Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Matthew Jackson enrolled in Medicare?

Yes. Matthew Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Jackson was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.