Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jared D Randall

Physician Assistant β€’ Baltimore, MD

Active NPI 1124873070 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

2401 W Belvedere Ave
Baltimore, MD 212155270

Call 5015578282 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2401 W Belvedere Ave

Baltimore, MD 212155270

Telephone 5015578282
Organization at the Same NPPES Address or Phone
Radiation Oncology Services Of Northwest Baltimore, Llc Facility NPI 1043274905

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Lifebridge Orthopedic Specialists Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jared Randall has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jared Randall as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Baltimore and Maryland

1,194 active clinicians are listed under Physician Assistant with a practice address in Baltimore, MD (3,319 in Maryland).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Baltimore

7.6% of these 1,194 clinicians have the CMS telehealth indicator.

39.6% of these 1,194 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-17
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MD C0009955

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Maryland Board of Physicians.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20251005000074

Enrollment State Jurisdiction

MD

PECOS Control ID

8527564889

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Lifebridge Orthopedic Specialists Llc

2401 E Belvedere Ave, Baltimore, MD 212155216

Lifebridge Orthopedic Specialists Llc

5415 Old Court Rd, Randallstown, MD 211335170

Phone: 4107014437

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Albert Aboulafia , MD

Orthopaedic Surgery

NPI 1447213608

Doctor of Medicine (M.D.)

Dr. Monika Acharya , MD

Psychiatry & Neurology - Psychiatry

NPI 1336406636

Doctor of Medicine (M.D.)

David Adebayo , PA-C

Physician Assistant

NPI 1487989323

Physician Assistant (Certified)

Dr. Samuel Adler , MD

Psychiatry & Neurology - Psychiatry

NPI 1174586135

Doctor of Medicine (M.D.)

Grace Agboh

Nurse Practitioner - Acute Care

NPI 1437518636
NPI 1336149194

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location September 17, 2025

Registered at 2401 W BELVEDERE AVE, BALTIMORE, MD 212155270 (Tel: 5015578282)

πŸ“
Updated Business Mailing Address September 17, 2025

Registered at 2401 W BELVEDERE AVE, BALTIMORE, MD 212155270 (Tel: 5015578282)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2025

Physician Assistant (license number reported to NPPES: MD C0009955)

βœ…
NPI Profile Active April 23, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 23, 2024

Registered at 24 N WALNUT ST FL 3, HAGERSTOWN, MD 217404738 (Tel: 5015578282)

πŸ“
Business Mailing Address (Initial Record) April 23, 2024

Registered at 24 N WALNUT ST FL 3, HAGERSTOWN, MD 217404738 (Tel: 5015578282)

πŸ‘€
Provider Name / Credentials (Initial Record) April 23, 2024

Recorded as JARED RANDALL

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 23, 2024

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1124873070
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2024
Last Update: September 17, 2025
Sole Proprietor: Yes

Other Physician Assistants in Baltimore

All Physician Assistants in Baltimore

Mailing Address

2401 W Belvedere Ave

Baltimore, MD 212155270

Phone: 5015578282

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.