Active NPI
Jessalynn Adam, MD
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 0101273498
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181012000195 | MD | Practitioner - Sports Medicine | 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
Practice addresses (Care Compare)
1920 Ballenger Ave
Suite 200
Alexandria, VA 22314-6818
Phone (703) 810-5209
Hospital & facility affiliations
- Virginia Hospital Center
- Inova Mount Vernon Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.85 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MT205100 | PA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthovirginia, Inc | Current | Accepting new patients | |
| St Paul Place Specialists, Inc. | Current | Accepting new patients | |
| Maryland Family Care, Inc. | Current | Accepting new patients | |
| St Paul Place Specialists Inc | Current | Accepting new patients | |
| St. Paul Place Specialists, Inc. | Current | Accepting new patients | |
| Orthovirginia, Inc | Physical Medicine & Rehabilitation | Current | 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
- 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.
-
- Orthopaedic Foot and Ankle Surgery Physician
- Baltimore, MD
- NPI 1871549196
MD
-
- Physical Medicine & Rehabilitation Physician
- Arlington, VA
- NPI 1376411413
Physical Medicine & Rehabilitation
-
- Multi-Specialty Clinic/Center
- Reston, VA
- NPI 1679596647
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1497707681
-
- Orthopaedic Surgery Physician
- Baltimore, MD
- NPI 1851405187
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Arlington, VA
- NPI 1790785996
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.
- 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.