RUBIE SUE JACKSON MD NPI 1528209293

NPI Information

  • NPI: 1528209293
  • Provider Name: RUBIE SUE JACKSON, MD
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2000 MEDICAL PARKWAY
    SUITE 200
    ANNAPOLIS, MD
    ZIP 21401
  • Phone: (443) 481-5300

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NPI Details

Rubie Sue Jackson, MD is a surgery in Annapolis, MD with 19 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Rubie Sue Jackson, MD NPI is 1528209293. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year:2007

The provider's business location address is:

2000 MEDICAL PARKWAY
SUITE 200
ANNAPOLIS, MD
ZIP 21401
Phone: (443) 481-5300
Fax: (443) 481-6705

The NPI 1528209293 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of surgical specimen (HCPCS:76098)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Partial removal of breast (HCPCS:19301)
  • Injection of radioactive material for x-ray identification of lymph node (HCPCS:38792)
  • Imaging of lymph nodes during surgery (HCPCS:38900)
  • Biopsy or removal of deep lymph nodes of underarm (HCPCS:38525)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Placement of locating device in breast using ultrasound guidance, first growth (HCPCS:19285)
  • Simple complete removal of breast (HCPCS:19303)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Mastectomy (HCPCS:NAN04)

The enumeration date for this NPI number is 3/10/2009 and was last updated on 2/5/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2208600000XSurgeryD77385MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1213518300MEDICAIDMARYLAND
2356807Y5ZMEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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