Jennifer Bischoff Pedicano, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

0101246807 Issued in VA

Practice address

100 Elden St Ste 10
Herndon, VA 20170-4833

Phone

(703) 689-2000

Fax

(703) 478-6612

NPI assigned

May 2, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpedicano39714@gwmfa.direct-ci.com

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.

• Medical Faculty Associates, Inc

  • Anesthesiology Physician
  • Washington, DC
  • NPI 1417990581
  Medicare reassignment NPD
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  DC

  Medicare reassignment
• Diane L Ozog, MDSC

  • Allergy & Immunology Physician
  • Naperville, IL
  • NPI 1245374875
  NPD (past)

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1568638229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ELDEN ST STE 10",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704833",
            "telephone_number": "703-689-2000",
            "fax_number": "703-478-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDICANO",
        "first_name": "JENNIFER",
        "middle_name": "BISCHOFF",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "VA",
            "license": "0101246807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568638229",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "6M5932",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alfonso Luis Patron, DDS
• Emily Pavelko
• Rebecca Ann Pawlikowski, MS, CF-SLP
• Peak Performance Neurofeedback, LLC
• Victoria Joan Pearson
• Jasmine Pennington
• Susan Perlmutter, M.D.
• Simone Perry
• Kristina Pestana, CNS, LDN
• Lisa Tam Petruzzi, ATC, VATL

• Allergy & Immunology Physician in Herndon, VA
• Providers in Herndon, VA by specialty
• Allergy & Immunology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.