Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rubie Sue Jackson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1528209293

Rubie Sue Jackson, MD is a General Surgery in Annapolis, Maryland. Graduated from State University of New York at Stony Brook, School of Medicine in 2007, 19 years ago. Practices with Luminis Health Medical Group, LLC, a 549-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
19
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
MD
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2000 Medical Pkwy Ste 200
Annapolis, MD 21401
Phone: (443) 481-5300
Fax: (443) 481-6705
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence D77385 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1528209293
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 10, 2009
Last updated in NPPESFebruary 5, 2015
Mailing addressPo Box 12622, Belfast, ME 04915

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Luminis Health Medical Group, Llc — 549 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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