Individual provider Active NPI

Jessica Vasanthan

  • Student in an Organized Health Care Education/Training Program
  • West Reading, PA
National Provider Identifier
1619661329
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0108197 Issued in MD
Practice address
20 University Blvd E
Silver Spring, MD 20901-2436
Phone
(301) 273-2121
NPI assigned
Jun 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0108197 MD Primary

Addresses

Primary practice location

20 University Blvd E
Silver Spring, MD 20901-2436

Mailing address

20 University Blvd E
Silver Spring, MD 20901-2436
Phone (301) 273-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230719004366 PA Order and Referring Only - Family PracticePractitioner - Family Practice 9335509546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1619661329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 UNIVERSITY BLVD E",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209012436",
            "telephone_number": "301-273-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 UNIVERSITY BLVD E",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209012436",
            "telephone_number": "301-273-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASANTHAN",
        "first_name": "JESSICA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0108197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Reading, PA

Sources for this page

Verify at the official NPI Registry.