Individual provider Active NPI

Kevin Thomas Jones, PA

  • Physician Assistant
  • Glen Burnie, MD
National Provider Identifier
1740017219
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0009985 Issued in MD
Practice address
1600 Crain Hwy S #608, Glen Burnie, MD 21061
Glen Burnie, MD 21061
Phone
(443) 354-1200
NPI assigned
Sep 18, 2024
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0009985 MD Primary

Addresses

Primary practice location

1600 Crain Hwy S #608, Glen Burnie, MD 21061
Glen Burnie, MD 21061

Mailing address

1600 Crain Hwy S #608, Glen Burnie, MD 21061
Glen Burnie, MD 21061
Phone (443) 354-1200

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251117001480 MD Practitioner - Physician Assistant 8729579875 Reassigns benefits to 2 organizations
I20260206001781 DC Practitioner - Physician Assistant 8729579875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
My Mental Health LLCGroup PAC ID 1456584341, 10 clinicians

Practice addresses (Care Compare)

1600 Crain Hwy S
Suite 608
Glen Burnie, MD 21061-6442
Phone (443) 354-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0009985MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arman C. Moshyedi, MD, LLC CurrentSince Jan 23, 2026 Accepting new patients
My Mental Health, LLC CurrentSince Oct 23, 2025 Accepting new patients
Arman C. Moshyedi, MD, LLC PastSince Jul 2, 2016 Accepting new patients

Locations

900 Bestgate Rd
Ste 102
Annapolis, MD 21401
Phone (443) 354-1200

2012 S Tollgate Rd
Ste 103
Bel Air, MD 21015

8850 Stanford Blvd
Ste 3300
Columbia, MD 21045
Phone 44371852062375

1003 W 7th St
Ste 200
Frederick, MD 21701
Phone (240) 651-6824

1600 Crain Hwy S
Ste 602
Glen Burnie, MD 21061
Phone (410) 761-9897

1600 Crain Hwy S
Ste 608
Glen Burnie, MD 21061
Phone (443) 354-1200

7474 Greenway Center Dr
Ste 700A
Greenbelt, MD 20770
Phone (301) 982-3437

10400 Connecticut Ave
Ste 407
Kensington, MD 20895

10605 Concord St
Ste 302
Kensington, MD 20895
Phone (301) 942-7900

1829 Reisterstown Rd
Ste 460
Pikesville, MD 21208
Phone (443) 354-1200

15001 Shady Grove Rd
Ste 220
Rockville, MD 20850
Phone (301) 279-9030

3825 Leonardtown Rd
Ste 8
Waldorf, MD 20601
Phone (301) 710-1598

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1740017219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S #608, GLEN BURNIE, MD 21061",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "443-354-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S #608, GLEN BURNIE, MD 21061",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "443-354-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KEVIN",
        "middle_name": "THOMAS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-18",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0009985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.