Active NPI
Jessica C Shen, MD
- Otolaryngology Physician
- Chevy Chase, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- D73922
- Practice address
- 5454 Wisconsin Ave
#1535
Chevy Chase, MD 20815-6901 - Phone
- (301) 652-8847
- NPI assigned
- Jul 5, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MT190957 | PA | |
| Otolaryngology Physician | 207Y00000X | D73922 | MD | Primary |
Addresses
Primary practice location
5454 Wisconsin Ave
#1535
Chevy Chase, MD 20815-6901
Mailing address
5454 Wisconsin Ave
#1535
Chevy Chase, MD 20815-6901
Phone (301) 652-8847
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Michigan Medical School, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5454 Wisconsin Ave
Suite 1535
Chevy Chase, MD 20815-6922
Phone (301) 652-8847
6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844
Hospital & facility affiliations
- Sibley Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D73922 | MD | MD | Otolaryngology Physician |
| MT190957 | PA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centers for Advanced ENT Care, LLC | Otolaryngology | Current | Accepting new patients |
| Cumberland Valley ENT Consultants | Otolaryngology | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 402
Washington, DC 20036
Phone (202) 466-8546
1120 19th St NW
Ste 316
Washington, DC 20036
Phone (202) 466-3570
6410 Rockledge Dr
Ste 305
Bethesda, MD 20817
Phone (301) 493-9409
5454 Wisconsin Ave
Ste 1535
Chevy Chase, MD 20815
Phone (301) 652-8847
12850 Middlebrook Rd
Ste 410
Germantown, MD 20874
Phone (301) 652-8847
Organizations & group practices 4
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.
-
- Rehabilitation Clinic/Center
- Bethesda, MD
- NPI 1457354748
-
- Otolaryngology Physician
- Hagerstown, MD
- NPI 1649272824
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, DC
- NPI 1366492977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1306044086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5454 WISCONSIN AVE",
"address_2": "#1535",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208156901",
"telephone_number": "301-652-8847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5454 WISCONSIN AVE",
"address_2": "#1535",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208156901",
"telephone_number": "301-652-8847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEN",
"first_name": "JESSICA",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-05",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "PA",
"license": "MT190957",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MD",
"license": "D73922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.