Individual provider Active NPI

Jessica C Shen, MD

  • Otolaryngology Physician
  • Chevy Chase, MD
National Provider Identifier
1306044086
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
D73922 Issued in MD
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

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120713000167 DC Practitioner - Otolaryngology 8921263179 Reassigns benefits to 1 organization

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
Centers for Advanced ENT Care LLCGroup PAC ID 1658647359, 103 clinicians
Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

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 Hospital, Washington, DC, CCN 090005

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D73922MDMDOtolaryngology Physician
MT190957PAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced ENT Care, LLC Otolaryngology CurrentSince Oct 1, 2017 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.

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": "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

Verify at the official NPI Registry.