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DR. JASON WAYNE CUSTER M.D.
NPI 1972649465
Pediatrics - Pediatric Critical Care Medicine in Baltimore, MD

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment
22 S GREENE ST, DEPT OF PEDIATRIC CRITICAL CARE MEDICINE, BALTIMORE, MD 21201(410) 328-6957(410) 328-0680 Get Directions Write a Review

NPPES record last updated: April 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jason Wayne Custer M.d. NPPES

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

DR. JASON WAYNE CUSTER M.D. (NPI 1972649465) is an individual pediatric critical care medicine provider in Baltimore, Maryland, licensed in Maryland (D66071) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (2003).

NPPES Registry Identity

NPI1972649465
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. JASON WAYNE CUSTERCredential: M.D.
Location Address22 S GREENE ST, DEPT OF PEDIATRIC CRITICAL CARE MEDICINEBaltimore, MD 21201-1544
Mailing Address3502 Elliott StBaltimore, MD 21224-5210 · (410) 563-7383
Phone(410) 328-6957
Fax(410) 328-0680
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2003
Enumeration DateJanuary 30, 2007
Last NPPES UpdateApril 22, 2014
✔ NPI 1972649465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in MD · D66071
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
22 S GREENE 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 and accepts Medicare assignment

Dr. Jason Wayne Custer M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032203880
PECOS Enrollment IDI20070924000613
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. LEONARD ANANG SOWAH M.D.
Internal Medicine
22 S GREENE ST
BALTIMORE, MD 21201
Baltimore City (410) 706-4619
VISHAL BHATNAGAR MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST, MEDICINE, N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
NANCE J FOX P.A.-C
Physician Assistant (Medical)
22 S GREENE ST, G2K36
BALTIMORE, MD 21201
Baltimore City (410) 328-1170
HILARY TAMARA WOLF MD
Pediatrics (Adolescent Medicine)
22 S GREENE ST
BALTIMORE, MD 21201
Baltimore City (410) 328-7373
MS. LINDSAY BREAM O'MEARA CRNP
Nurse Practitioner (Acute Care)
22 S GREENE ST, SUITE S4D07
BALTIMORE, MD 21201
Baltimore City (410) 328-3365
NORA T OLIVER M.D., M.P.H.
Student in an Organized Health Care Education/Training Program
22 S GREENE ST, N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-5756
SHOSHANA JO WEINER
Internal Medicine
22 S GREENE ST
BALTIMORE, MD 21201
Baltimore City (617) 214-1332
JENNA VANLIERE CANZONIERO M.D.
Internal Medicine
22 S GREENE ST, N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-5756

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 Jason Custer's NPI number?

The NPI number for Jason Custer is 1972649465. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Jason Custer located?

Jason Custer practices at 22 S Greene St Dept Of Pediatric Critical Care Medicine, Baltimore, MD 21201. The listed phone number is (410) 328-6957.

What is Jason Custer's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Jason Custer enrolled in Medicare?

Yes. Jason Custer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jason Custer was last updated on April 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.