Maryam Jirsarai, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0003938 Issued in MD

Practice address

826 Washington Rd
Ste 122
Westminster, MD 21157-5750

Phone

(410) 857-8333

Fax

(410) 857-8311

NPI assigned

Feb 14, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carroll Dermatology Associates, LLCGroup PAC ID 3870658198, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Carroll Dermatology Associates, LLC

  • Dermatology Physician
  • Westminster, MD
  • NPI 1366687394
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1104199702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 WASHINGTON RD",
            "address_2": "STE 122",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575750",
            "telephone_number": "410-857-8333",
            "fax_number": "410-857-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 WASHINGTON RD",
            "address_2": "STE 122",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575750",
            "telephone_number": "410-857-8333",
            "fax_number": "410-857-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIRSARAI",
        "first_name": "MARYAM",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Jenkins-Chrest, LCSW-C
• Lindsey Jenson, LCSW-C
• Sakshi Jhawar, MD
• Jill a Sergott-Pearce, LCSW-C, LLC
• Christopher J Jillson, MD
• John a. Ruth, Jr., M.D., P.a.
• John a. Steers, MD, PA
• John M. Langlois, D.C., P.a.
• John W. Middleton, MD
• Johns Hopkins Community Physicians

• Physician Assistant in Westminster, MD
• Providers in Westminster, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.