NPIMap

Organization Active NPI

Bethesda Chevy Chase Orthopaedic Associates, LLC

Doing business as Jordan-Young Institute

  • Orthopaedic Surgery Physician
  • Bethesda, MD
National Provider Identifier
1477583599
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BETHESDA CHEVY CHASE ORTHOPAEDIC ASSOCIATES, LLC
Doing business as
Jordan-Young Institute
Shady Grove Orthopaedics
Washington D.C.- K Street Therapy Office1 more in Other names
Practice address
10215 Fernwood Rd
#506
Bethesda, MD 20817-1106
Phone
(301) 530-1010
NPI assigned
Jul 4, 2006
Last updated
Aug 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Chuck Grasmeder
Title
Chief Administrative Officer
Phone
(240) 482-2412

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary
Orthopaedic Hand Surgery Physician 207XS0106X NU
Orthopaedic Surgery of the Spine Physician 207XS0117X NU
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X NU
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X NU

Addresses

Primary practice location

10215 Fernwood Rd
#506
Bethesda, MD 20817-1106

Mailing address

10215 Fernwood Rd
#506
Bethesda, MD 20817-1106
Phone (301) 530-1010

Other practice location 1

2021 K St NW Ste 610
Washington, DC 20006-1058
Phone (240) 395-1522

Other practice location 2

829 Lynnhaven Pkwy Ste 127-129
Virginia Beach, VA 23452-7224
Phone (757) 961-7271

Other practice location 3

3835 Plyers Mill Rd
Kensington, MD 20895-2015
Phone (301) 222-0577

Other practice location 4

5712 Cleveland St Ste 250
Virginia Beach, VA 23462-1783
Phone (757) 961-7271

Other practice location 5

1701 Clarendon Blvd Ste 120
Arlington, VA 22209-4800
Phone (301) 530-1010

Other practice location 6

8401 Greensboro Dr Ste 120
Mc Lean, VA 22102-5101
Phone (301) 530-1010

Other practice location 7

19735 Germantown Rd Ste 120
Germantown, MD 20874-1225
Phone (301) 530-1010

Other practice location 8

9601 Blackwell Rd Ste 100
Rockville, MD 20850-6477
Phone (301) 530-1010

Other practice location 9

1635 N George Mason Dr Ste 180
Arlington, VA 22205-3633
Phone (301) 530-1010

Other practice location 10

5716 Cleveland St Ste 200
Virginia Beach, VA 23462-1784
Phone (757) 490-4802

Other practice location 11

4420 Fairfax Dr Ste 100
Arlington, VA 22203-4190
Phone (703) 419-3002

Other identifiers 2

IdentifierTypeStateIssuer
894071OtherMDPTAN
639500700MedicaidMD

Other names 4

  • Jordan-Young Institute Doing business as
  • Shady Grove Orthopaedics Doing business as
  • Washington D.C.- K Street Therapy Office Doing business as
  • Washington Sports Medicine Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20050407000997 DC Part B Supplier - Clinic/Group Practice 4789631011 Receives reassigned benefits from 112 practitioners
Practice locations: Washington, DC; Arlington, VA; Rockville, MD; MC Lean, VA; Kensington, MD; Chevy Chase, MD; Germantown, MD; Bethesda, MD
O20100930021665 MD DME Supplier - Physician - Orthopedic/Orthopedic Surgery 4789631011 Practice locations: Bethesda, MD
O20231222000059 VA Part B Supplier - Clinic/Group Practice 4789631011 Receives reassigned benefits from 57 practitioners
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

10215 Fernwood Rd
Bethesda, MD 20817
Phone (301) 312-8406

3835 Plyers Mill Rd
Kensington, MD 20895
Phone (301) 222-0577

1635 N George Mason Dr
Ste 180
Arlington, VA 22205
Phone (703) 276-7798

4420 Fairfax Dr
Arlington, VA 22203

5712 Cleveland St
Ste 250
Virginia Beach, VA 23462
Phone (757) 961-7271

Practitioners & affiliated clinicians

Practitioners 222

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 222

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1477583599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD",
            "address_2": "#506",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171106",
            "telephone_number": "301-530-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD",
            "address_2": "#506",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171106",
            "telephone_number": "301-530-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 K St NW Ste 610",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200061058",
            "country_code": "US",
            "telephone_number": "240-395-1522",
            "fax_number": "202-525-2671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "829 Lynnhaven Pkwy Ste 127-129",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234527224",
            "country_code": "US",
            "telephone_number": "757-961-7271",
            "fax_number": "757-961-7276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3835 Plyers Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Kensington",
            "state": "MD",
            "postal_code": "208952015",
            "country_code": "US",
            "telephone_number": "301-222-0577",
            "fax_number": "301-530-3030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5712 Cleveland St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234621783",
            "country_code": "US",
            "telephone_number": "757-961-7271",
            "fax_number": "757-961-7276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Clarendon Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222094800",
            "country_code": "US",
            "telephone_number": "301-530-1010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8401 Greensboro Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221025101",
            "country_code": "US",
            "telephone_number": "301-530-1010",
            "fax_number": "301-897-8597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19735 Germantown Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208741225",
            "country_code": "US",
            "telephone_number": "301-530-1010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9601 Blackwell Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208506477",
            "country_code": "US",
            "telephone_number": "301-530-1010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1635 N George Mason Dr Ste 180",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222053633",
            "country_code": "US",
            "telephone_number": "301-530-1010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5716 Cleveland St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234621784",
            "country_code": "US",
            "telephone_number": "757-490-4802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4420 Fairfax Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222034190",
            "country_code": "US",
            "telephone_number": "703-419-3002",
            "fax_number": "571-970-4471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BETHESDA CHEVY CHASE ORTHOPAEDIC ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "GRASMEDER",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "240-482-2412"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "894071",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "639500700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jordan-Young Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shady Grove Orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Washington D.C.- K Street Therapy Office",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Washington Sports Medicine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.