Individual provider Active NPI

Jessalynn Adam, MD

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Alexandria, VA
National Provider Identifier
1679911580
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
0101273498 Issued in VA
Practice address
6355 Walker Lane
Suite 202
Alexandria, VA 22310
Phone
(703) 810-5210
Fax
(703) 810-5418
NPI assigned
Jun 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MT205100 PA
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X D86141 MD
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 0101273498 VA Primary

Addresses

Primary practice location

6355 Walker Lane
Suite 202
Alexandria, VA 22310

Mailing address

1115 Boulders Parkway
Suite 200
North Chesterfield, VA 23225
Phone (804) 215-3063

Other practice location 1

3400 Spruce St
Philadelphia, PA 19104-4206
Phone (215) 893-2676

Other practice location 2

301 St. Paul Place
Lobby Level
Baltimore, MD 21202-2102
Phone (410) 539-2227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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

Enrollment IDStateProvider typePAC IDDetails
I20181012000195 MD Practitioner - Sports MedicinePractitioner - Physical Medicine and Rehabilitation 0749570240 Reassigns benefits to 2 organizations
I20211202000364 DC Practitioner - Sports Medicine 0749570240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Rutgers, Robert Woood Johnson Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthovirginia Inc 570 clinicians

Practice addresses (Care Compare)

1920 Ballenger Ave
Suite 200
Alexandria, VA 22314-6818
Phone (703) 810-5209

Hospital & facility affiliations

  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050
  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122

Merit-based Incentive Payment System (MIPS)

Final score
90.85 of 100Reported as group
Quality
90.74
Promoting interoperability
100
Improvement activities
40
Cost
78.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT205100PAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc CurrentSince Nov 1, 2021 Accepting new patients
St Paul Place Specialists, Inc. CurrentSince Sep 4, 2018 Accepting new patients
Maryland Family Care, Inc. CurrentSince Jul 28, 2020 Accepting new patients
St Paul Place Specialists Inc CurrentSince Sep 4, 2018 Accepting new patients
St. Paul Place Specialists, Inc. Current Accepting new patients
Orthovirginia, Inc Physical Medicine & Rehabilitation CurrentSince Nov 1, 2021 Accepting new patients
Orthovirginia Inc. Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

6354 Walker Ln
Ste 300
Alexandria, VA 22310
Phone (703) 810-5210

1920 Ballenger Ave
Ste 200
Alexandria, VA 22314
Phone (703) 810-5209

6355 Walker Ln
Ste 202
Alexandria, VA 22310
Phone (703) 810-5210

1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242

8320 Old Courthouse Rd
Ste 100
Vienna, VA 22182
Phone (703) 810-5213

Interoperability endpoints

  • Direct secure messaging: jadam30642@direct.orthovirginia.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1679911580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 BOULDERS PARKWAY",
            "address_2": "SUITE 200",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "23225",
            "telephone_number": "804-215-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 WALKER LANE",
            "address_2": "SUITE 202",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22310",
            "telephone_number": "703-810-5210",
            "fax_number": "703-810-5418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Spruce St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044206",
            "country_code": "US",
            "telephone_number": "215-893-2676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 St. Paul Place",
            "address_2": "Lobby Level",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212022102",
            "country_code": "US",
            "telephone_number": "410-539-2227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAM",
        "first_name": "JESSALYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MT205100",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "MD",
            "license": "D86141",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "VA",
            "license": "0101273498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.