Individual provider Active NPI

Suneetha Jasty, M.D.,

  • Rheumatology Physician
  • Willow Grove, PA
National Provider Identifier
1881957090
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD479378 Issued in PA
Practice address
2360 Maryland Rd
Willow Grove, PA 19090-1709
Phone
(215) 657-6776
Fax
(267) 913-5961
NPI assigned
Jun 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 25MA10970900 NJ
Rheumatology Physician 207RR0500X MD479378 PA Primary
Rheumatology Physician 207RR0500X R8384 TX

Addresses

Primary practice location

2360 Maryland Rd
Willow Grove, PA 19090-1709

Mailing address

120 Valley Green LN Ste 510
King of Prussia, PA 19406-2080
Phone (484) 324-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230204000359 PA Practitioner - Rheumatology 8426368440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rheumatic Disease Associates,LTDGroup PAC ID 2961485602, 16 clinicians

Practice addresses (Care Compare)

2360 Maryland Rd
Willow Grove, PA 19090-1709
Phone 2156576776438

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R8384TXMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatic Disease Associates,LTD Rheumatology CurrentSince Jul 1, 2025 Accepting new patients
Wellmed Medical Group, PA Rheumatology PastSince Aug 6, 2018 Accepting new patients

Locations

510 Township Line Rd
Ste 220
Blue Bell, PA 19422

599 W State St
Ste 310
Doylestown, PA 18901
Phone (267) 893-6780

801 Old York Rd
Ste 320
Jenkintown, PA 19046
Phone 2156576776438

1717 Langhorne Newtown Rd
Ste 101
Langhorne, PA 19047

2360 Maryland Rd
Willow Grove, PA 19090

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: suneetha.jasty.p1@direct.arthritispa.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1881957090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 VALLEY GREEN LN STE 510",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062080",
            "telephone_number": "484-324-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 MARYLAND RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901709",
            "telephone_number": "215-657-6776",
            "fax_number": "267-913-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASTY",
        "first_name": "SUNEETHA",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NJ",
            "license": "25MA10970900",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD479378",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "R8384",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

Verify at the official NPI Registry.