Individual provider Active NPI

Jisoo Jang, PA-S

  • Physician Assistant
  • Rockville, MD
National Provider Identifier
1851280135
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
14995 Shady Grove Rd Ste 500
Rockville, MD 20850-8726
Phone
(301) 942-7600
NPI assigned
Jul 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 0110011070 VA
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

14995 Shady Grove Rd Ste 500
Rockville, MD 20850-8726

Mailing address

7361 Calhoun PL Ste 600
Rockville, MD 20855-2788
Phone (301) 942-7600

Other practice location 1

8270 Willow Oaks Corporate Dr Ste 150
Fairfax, VA 22031-4530
Phone (703) 573-2220

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250820003322 DC Practitioner - Physician Assistant 5496255937 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
Arthritis and Rheumatism Associates PCGroup PAC ID 5597750703, 50 clinicians

Practice addresses (Care Compare)

7361 Calhoun PL
Suite 600
Rockville, MD 20855-2788
Phone 301942044211203

8270 Willow Oaks Corporate Dr
Suite 150
Fairfax, VA 22031-4530
Phone (301) 942-7600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110011070VAMDRheumatology Physician

Interoperability endpoints

  • Direct secure messaging: jisoo.jang.p1@direct.aramd.nextgenshare.com

Organizations & group practices 1

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": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1851280135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7361 CALHOUN PL STE 600",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208552788",
            "telephone_number": "301-942-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14995 SHADY GROVE RD STE 500",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208508726",
            "telephone_number": "301-942-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8270 Willow Oaks Corporate Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314530",
            "country_code": "US",
            "telephone_number": "703-573-2220",
            "fax_number": "703-573-7767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANG",
        "first_name": "JISOO",
        "credential": "PA-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "0110011070",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.