Jennifer L Kallio, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1850005253 Issued in VA

Practice address

1886 Metro Center Dr Ste 650
Reston, VA 20190-5294

Phone

(703) 437-7744

Fax

(703) 435-3951

NPI assigned

Apr 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, DC2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Dermatology of Reston LLCGroup PAC ID 4981971256, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Integrated Dermatology of Reston, LLC

  • Dermatology Physician
  • Reston, VA
  • NPI 1487186466

  DC

  Medicare reassignment Care Compare group
• Amy B Lewis MD PC

  • Dermatology Physician
  • New York, NY
  • NPI 1124278452
  Medicare reassignment
• West 57TH Street Dermatology PLLC

  • Specialist
  • Scarsdale, NY
  • NPI 1518185727
  Medicare reassignment
• Brooklyn Nephrology Group, P.C.

  • Specialist
  • Brooklyn, NY
  • NPI 1881609352
  NPD (past)
• Hennessey Dermatology LLC

  • Specialist
  • New York, NY
  • NPI 1790818623
  NPD (past)
• New Jersey Medical Services Group, LLC

  • Surgery Physician
  • Florham Park, NJ
  • NPI 1962828277
  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1528022001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-948-0291",
            "fax_number": "561-859-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1886 METRO CENTER DR STE 650",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905294",
            "telephone_number": "703-437-7744",
            "fax_number": "703-435-3951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Harwood Ct Ste 217",
            "address_purpose": "LOCATION",
            "city": "Scarsdale",
            "state": "NY",
            "postal_code": "105834120",
            "country_code": "US",
            "telephone_number": "914-472-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 Madison Ave Rm 6Se",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100165454",
            "country_code": "US",
            "telephone_number": "212-677-5555",
            "fax_number": "212-677-5558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALLIO",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019584-1",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9103446",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "1850005253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PA9103446",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
• Margaret A Kajeckas, LCSW
• Neda Kalantar, D.D.S.
• Erin Kamber, LPC
• Alexander A Kanaan, ARNP, PMHNP
• Esther K Kang, NP
• Gye Yeon Kang, NP
• Kristina Kang

• Physician Assistant in Reston, VA
• Providers in Reston, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.