Active NPI
Jessica Elizabeth Kalen, MD
- Dermatology Physician
- Arlington, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0101274487
- Practice address
- 1525 Wilson Blvd Ste 125
Arlington, VA 22209-2470 - Phone
- (703) 966-7127
- NPI assigned
- Mar 21, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dermatology Physician | 207N00000X | 0101274487 | VA | Primary |
Addresses
Primary practice location
1525 Wilson Blvd Ste 125
Arlington, VA 22209-2470
Mailing address
2301 N St NW Apt 505
Washington, DC 20037-1135
Phone (561) 504-5926
Other practice location 1
50 Irving St NW
Washington, DC 20422-0001
Phone (202) 745-8000 ext. 57960
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Florida College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8100 Boone Blvd
Suite 300
Vienna, VA 22182-2642
Phone (301) 652-4828
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 12 |
| Removal of skin lesions | 139 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 72 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pantea Tamjidi MD PC | Current | Accepting new patients | |
| Skindc PLLC | Dermatology | Current | Accepting new patients |
Locations
1525 Wilson Blvd
Ste 125
Arlington, VA 22209
Phone (703) 214-6496
8100 Boone Blvd
Ste 300
Vienna, VA 22182
Phone (301) 652-4828
Interoperability endpoints
- jkalen@tamjidi.emadirect.md
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648857600000",
"number": "1699279075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 N ST NW APT 505",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200371135",
"telephone_number": "561-504-5926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 WILSON BLVD STE 125",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222092470",
"telephone_number": "703-966-7127"
}
],
"practiceLocations": [
{
"address_1": "50 Irving St NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "204220001",
"country_code": "US",
"telephone_number": "202-745-8000 x57960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KALEN",
"first_name": "JESSICA",
"middle_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-21",
"last_updated": "2022-04-02",
"certification_date": "2022-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "VA",
"license": "0101274487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; 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.