Jayasree Patla, M.D.
Individual provider Active NPI Family Medicine Physician · Andrews Afb, MD
NPI 1851442008 · NPPES record last updated Jul 14, 2026
Key facts
- NPI
- 1851442008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0101230586 (VA)
- Practice address
- 1080 W. Perimeter Road
Andrews Afb, MD 20762 - Phone
- (240) 612-3781
- NPI assigned
- Jan 15, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230515003277 | VA | Order and Referring Only - Family Practice |
0143309088 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101230586 | VA | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Northern VA Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101230586 | VA | Yes |
| Adult Medicine Physician | 207QA0505X | 0101230586 | VA |
Addresses
Primary practice location
1080 W. Perimeter Road
Andrews Afb, MD 20762
Mailing address
1580 Spring Gate Dr Unit 4114
MC Lean, VA 22102-3444
Phone (703) 217-1384
Other providers in Andrews Afb, MD
- Peggy Ann Milam
- Charles Motsinger
- Khayanga Shakilo Namasaka
- National Vision, Inc.
- Thomas Augustine Neal II
- Johnathan A Paxton
- Angela Patrice Pettis
- Iudok Premoe
- John C. Pritchett
- Gregory Thomas Rehe
All providers in Andrews Afb, MD · Family Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.