Organization Active NPI

Vesta, Inc.

  • Community/Behavioral Health Agency
  • Severn, MD
National Provider Identifier
1790995017
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4627 Issued in MD
Legal business name
VESTA, INC.
Practice address
8141 Telegraph Rd
Severn, MD 21144-3256
Phone
(240) 296-1370
Fax
(410) 672-2869
NPI assigned
May 23, 2007
Organization subpart
Yes
Parent organization
VESTA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Mr. Jignesh Dalal, CPA
Title
Ceo
Phone
(240) 296-6099

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4627 MD Primary
Clinic/Center 261Q00000X 4567 MD

Addresses

Primary practice location

8141 Telegraph Rd
Severn, MD 21144-3256

Mailing address

9301 Annapolis Rd Ste 300
Attn: Finance Department
Lanham, MD 20706-3125
Phone (240) 296-6300

Other identifiers 2

IdentifierTypeStateIssuer
949LOtherMDMEDICARE
260991602MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050411001119 MD Part B Supplier - Clinic/Group Practice 3678568375 Receives reassigned benefits from 20 practitioners
2 other NPIs on this enrollment
Practice locations: Waldorf, MD; Lexington Park, MD; Odenton, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
VMHC25 organizations share this tax ID, including this one
Part of
VMHC

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

8141 Telegraph Rd
Severn, MD 21144
Phone (240) 296-1370

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1790995017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 ANNAPOLIS RD STE 300",
            "address_2": "ATTN: FINANCE DEPARTMENT",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063125",
            "telephone_number": "240-296-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8141 TELEGRAPH RD",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211443256",
            "telephone_number": "240-296-1370",
            "fax_number": "410-672-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESTA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VESTA, INC.",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "DALAL",
        "authorized_official_first_name": "JIGNESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-296-6099",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "4627",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "4567",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "949L",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260991602",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Severn, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.