Individual provider Active NPI

Jessica Elizabeth Kalen, MD

  • Dermatology Physician
  • Arlington, VA
National Provider Identifier
1699279075
Registry record updated Apr 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101274487 Issued in VA
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

Updated by the provider on Apr 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221014000178 DC Practitioner - Dermatology 1456604875 Reassigns benefits to 2 organizations

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
Pantea Tamjidi MD PCGroup PAC ID 0547276255, 9 clinicians

Practice addresses (Care Compare)

8100 Boone Blvd
Suite 300
Vienna, VA 22182-2642
Phone (301) 652-4828

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of skin lesions139
Removal or shaving of skin growth1-10
Skin biopsy72

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pantea Tamjidi MD PC CurrentSince May 1, 2025 Accepting new patients
Skindc PLLC Dermatology CurrentSince Sep 1, 2022 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

  • Direct secure messaging: 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

Verify at the official NPI Registry.