Individual provider Active NPI

Kevin Andrew Jiles, MD

  • Obstetrics & Gynecology Physician
  • Washington, DC
National Provider Identifier
1629593348
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD60003197 Issued in DC
Practice address
5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone
(202) 537-4686
Fax
(202) 537-4965
NPI assigned
Aug 3, 2017
Last updated
Jan 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101268208 VA
Obstetrics & Gynecology Physician 207V00000X MD60003197 DC Primary

Addresses

Primary practice location

5255 Loughboro Rd NW
Washington, DC 20016-2633

Mailing address

6201 Greenleigh Avenue
Bethesda, MD 20889-0001
Phone (410) 933-6423

Other practice location 1

NMRTC Okinawa, PSC 482
Fpo, AP 96362
Phone (770) 402-0965

Other practice location 2

1250 East 66th Street
Savannah, GA 31404
Phone (912) 721-8144

Other practice location 3

1250 East 66th Street
Savannah, GA 31404
Phone (912) 721-8144

Other practice location 4

8901 Rockville Pike
Bethesda, MD 20889-0001
Phone (800) 526-7101

Other identifiers 1

IdentifierTypeStateIssuer
390200000XOtherGAMEDICAL SCHOOL

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
I20241227003087 DC Practitioner - Obstetrics/Gynecology 9830621465 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60003197DCMDObstetrics & Gynecology Physician
0101268208VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Obstetrics & Gynecology CurrentSince Jan 1, 2025 Accepting new patients
Johns Hopkins University CurrentSince Jan 1, 2025 Accepting new patients

Locations

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

Interoperability endpoints

  • Direct secure messaging: kjiles1307502@direct.hopkinsmedicine.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1629593348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVENUE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890001",
            "telephone_number": "410-933-6423",
            "fax_number": "410-500-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 LOUGHBORO RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162633",
            "telephone_number": "202-537-4686",
            "fax_number": "202-537-4965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "NMRTC Okinawa, PSC 482",
            "address_purpose": "LOCATION",
            "city": "FPO",
            "state": "AP",
            "postal_code": "96362",
            "country_code": "US",
            "telephone_number": "770-402-0965",
            "country_name": "United States",
            "address_type": "MIL"
        },
        {
            "address_1": "1250 East 66th Street",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "31404",
            "country_code": "US",
            "telephone_number": "912-721-8144",
            "fax_number": "912-721-8267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 East 66th Street",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "31404",
            "country_code": "US",
            "telephone_number": "912-721-8144",
            "fax_number": "912-721-8267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8901 Rockville Pike",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208890001",
            "country_code": "US",
            "telephone_number": "800-526-7101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JILES",
        "first_name": "KEVIN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-03",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101268208",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "DC",
            "license": "MD60003197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL SCHOOL",
            "identifier": "390200000X",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.