Individual provider Active NPI

Anusha Jailwala, PA-C

  • Medical Physician Assistant
  • Germantown, MD
National Provider Identifier
1043016132
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0010060 Issued in MD
Practice address
20680 Seneca Meadows Pkwy Ste 206
Germantown, MD 20876-7029
Phone
(301) 339-8027
NPI assigned
Feb 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0010060 MD Primary

Addresses

Primary practice location

20680 Seneca Meadows Pkwy Ste 206
Germantown, MD 20876-7029

Mailing address

20680 Seneca Meadows Pkwy Ste 206
Germantown, MD 20876-7029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260122003128 DC Practitioner - Physician Assistant 0446737209 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

4910 Massachusetts Ave NW
Suite 114 Grady DC Office
Washington, DC 20016-4384
Phone (202) 686-0813

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

Hospital & facility affiliations

  • Holy Cross Germantown Hospital Hospital, Germantown, MD, CCN 210065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0010060MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Care Center LLC CurrentSince Dec 14, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 14, 2025 Accepting new patients
Privia Care Center LLC CurrentSince Dec 14, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 14, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

20680 Seneca Meadows Pkwy
Ste 206
Germantown, MD 20876
Phone (301) 339-8027

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1043016132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20680 SENECA MEADOWS PKWY STE 206",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208767029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20680 SENECA MEADOWS PKWY STE 206",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208767029",
            "telephone_number": "301-339-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAILWALA",
        "first_name": "ANUSHA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0010060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.