Active NPI
Jessica Jaw Al-Mashat, M.D.
- Anesthesiology Physician
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 0101266190
- Practice address
- 1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453 - Phone
- (405) 741-7614
- Fax
- (540) 741-7615
- NPI assigned
- Mar 26, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 0101266190 | VA | Primary |
Addresses
Primary practice location
1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Mailing address
1611 NW 12TH Ave
C-301, Department of Anesthesiology
Miami, FL 33136-1005
Phone (305) 585-6970
Other names 1
- Jessica Jeaanine Jaw
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191105001900 | VA | Practitioner - Anesthesiology | 1850623158 | Reassigns benefits to 2 organizations |
| I20230317000625 | DC | Practitioner - Anesthesiology | 1850623158 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- State University of Ny Upstate Medical University, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Reston Anesthesia Associates PC
Practice addresses (Care Compare)
1850 Town Ctr Pkwy
Reston, VA 20190-3204
Phone (703) 689-9000
Hospital & facility affiliations
- Reston Hospital Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101266190 | VA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Virginia PC | Anesthesiology | Current | Accepting new patients |
| Reston Anesthesia Associates, PC | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology of Virginia, PC | Anesthesiology | Current | Accepting new patients |
| Outpatient Anesthesia Services of Reston, LTD | Anesthesiology | Current | Accepting new patients |
| Inova Cares - Community | Anesthesiology | Current | Accepting new patients |
Locations
1500 Concord Ter
Fl 5
Sunrise, FL 33323
Phone (954) 384-0175
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922
1860 Town Center Dr
Ste G100
Reston, VA 20190
Phone (703) 433-8700
Interoperability endpoints
- jalmashat999737@soc.inova.org
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.
-
- Anesthesiology Physician
- Reston, VA
- NPI 1932210093
Anesthesiology, DC
-
- Anesthesiology Physician
- Falls Church, VA
- NPI 1417994872
Anesthesiology, VA
-
- Anesthesiology Physician
- Reston, VA
- NPI 1376654434
Anesthesiology, DC
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
Anesthesiology
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": "1427328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1235523341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 NW 12TH AVE",
"address_2": "C-301, DEPARTMENT OF ANESTHESIOLOGY",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361005",
"telephone_number": "305-585-6970",
"fax_number": "305-545-6501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SAM PERRY BLVD",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014453",
"telephone_number": "405-741-7614",
"fax_number": "540-741-7615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-MASHAT",
"first_name": "JESSICA",
"middle_name": "JAW",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-26",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0101266190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "JAW",
"middle_name": "JEAANINE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.