Individual provider Active NPI

Jasmin Kilayko Cole, M.D.

  • Family Medicine Physician
  • Springfield, VA
National Provider Identifier
1720061476
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101243642 Issued in VA
Practice address
6230 Rolling Rd Ste J
Springfield, VA 22152-2326
Phone
(571) 665-6460
Fax
(571) 665-6461
NPI assigned
Nov 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD067375L PA
Family Medicine Physician 207Q00000X 0101243642 VA Primary

Addresses

Primary practice location

6230 Rolling Rd Ste J
Springfield, VA 22152-2326

Mailing address

6230 Rolling Rd Ste J
Springfield, VA 22152-2326
Phone (571) 665-6460

Other practice location 1

755 Scott Cir
Hickam AFB, HI 96853-5399
Phone (808) 448-6100

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jcole13240@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20090206000215 DC Practitioner - Family Practice 1557425543 Reassigns benefits to 2 organizations
I20100929001228 VA Practitioner - Family Practice 1557425543 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northwestern University Feinberg Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaiser Foundation Health Plan of the Mid Atlantic States, IncGroup PAC ID 3779495858, 1,921 clinicians

Practice addresses (Care Compare)

13285 Minnieville Rd
Woodbridge, VA 22192-4018
Phone (703) 986-2400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD067375LPAMDFamily Medicine Physician
0101243642VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Family Medicine CurrentSince Feb 13, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Feb 13, 2023 Accepting new patients
Inova Health Care Services CurrentSince Jan 21, 2013 Accepting new patients
Inova Health Care Services CurrentSince Jan 21, 2013 Accepting new patients
Inova Ucc LLC CurrentSince Nov 15, 2022 Accepting new patients
Inova Health Care Services CurrentSince Jan 21, 2013 Accepting new patients

Locations

2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853

2101 E Jefferson St
Ste 4EAST
Rockville, MD 20852

6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600

24801 Pinebrook Rd
Ste 110
Chantilly, VA 20152
Phone (703) 722-2500

2990 Telestar Ct
Ste 3UC
Falls Church, VA 22042

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

6230 Rolling Rd
Ste I
Springfield, VA 22152
Phone (571) 665-6460

6230 Rolling Rd
Ste J
Springfield, VA 22152
Phone (571) 665-6460

100 Maple Ave E
Vienna, VA 22180
Phone (703) 938-5300

180 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5300

13285 Minnieville Rd
Woodbridge, VA 22192
Phone (703) 986-2400

14139 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 257-3000

Interoperability endpoints

  • Direct secure messaging: jcole13240@soc.inova.org

Organizations & group practices 6

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": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1720061476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 ROLLING RD STE J",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522326",
            "telephone_number": "571-665-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 ROLLING RD STE J",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522326",
            "telephone_number": "571-665-6460",
            "fax_number": "571-665-6461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 Scott Cir",
            "address_purpose": "LOCATION",
            "city": "Hickam AFB",
            "state": "HI",
            "postal_code": "968535399",
            "country_code": "US",
            "telephone_number": "808-448-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLE",
        "first_name": "JASMIN",
        "middle_name": "KILAYKO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD067375L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101243642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcole13240@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "6230 Rolling Rd Ste J",
            "city": "Springfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221522326",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "755 Scott Cir",
            "city": "Hickam AFB",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968535399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.