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Active NPI 1356091490 Individual Practitioner Male Practitioner

Dr. Tedroy Mevrick Jackson , MD

Internal Medicine • Cincinnati, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Tedroy Jackson, MD is a certified Internal Medicine practicing in Cincinnati, OH. With approximately 5 years of clinical experience since completing medical education in 2021, Dr. Jackson delivers high-quality medical care to the local community at 2123 AUBURN AVE STE 235.

Dr. Jackson is affiliated with South Sound Inpatient Physicians Pllc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2123 Auburn Ave Ste 235

Cincinnati, OH 452192906

Telephone 5135853238

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Cincinnati, OH

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -17.3 yrs vs City Avg
City Avg: 22.3 Yrs
State Avg: 26.9 Yrs
Regional Practice Density
593 Specialists

Practicing in Cincinnati, OH (5516 Statewide)

Telehealth Adoption Rate
13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (5 Years) 5 Yrs
Cincinnati Specialty Average (22.3 Years) 22.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-06-10
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WA MD61645378

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

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.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License WA MD.MD.61645378

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Hospital & Practice Group Affiliations

South Sound Inpatient Physicians Pllc

407 14th Ave Se, Puyallup, WA 983723770

Phone: 2536974000

South Sound Inpatient Physicians Pllc

1415 E Kincaid St, Mount Vernon, WA 982744126

Phone: 3604244111

South Sound Inpatient Physicians Pllc

330 S Stillaguamish Ave, Arlington, WA 982231642

Phone: 3604352133

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Ariel Daoud , MD

Student in an Organized Health Care Education/Training Program

NPI 1003558651

Doctor of Medicine (M.D.)

NPI 1003565201

Doctor of Medicine (M.D.)

Tiffany Loh

Student in an Organized Health Care Education/Training Program

NPI 1003676297
Dr. Reid Hartmann , MD

Family Medicine

NPI 1013056993

Doctor of Medicine (M.D.)

Catherine Lee

Student in an Organized Health Care Education/Training Program

NPI 1013619501
Charles Lane

Student in an Organized Health Care Education/Training Program

NPI 1013687839

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2026

Internal Medicine (License #MD61645378 in WA)

NPI Profile Active March 23, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2022

Registered at 2123 AUBURN AVE STE 235, CINCINNATI, OH 452192906 (Tel: 5135853238)

📍
Updated Business Mailing Address March 23, 2022

Registered at 2123 AUBURN AVE STE 340, CINCINNATI, OH 452192906

👤
Provider Name / Credentials Updated March 23, 2022

Recorded as TEDROY JACKSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 23, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356091490
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2022
Last Update: June 10, 2026
Sole Proprietor: No

Mailing Address

2123 Auburn Ave Ste 340

Cincinnati, OH 452192906

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.