Individual provider Active NPI

Sireesha Jalli, M.D.

  • Internal Medicine Physician
  • Rockville, MD
National Provider Identifier
1942476783
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0068080 Issued in MD
Practice address
2401 Research Blvd
Suite 330
Rockville, MD 20850-3215
Phone
(301) 686-8554
Fax
(301) 686-8602
NPI assigned
May 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0068080 MD Primary
Hypertension Specialist Physician 207RH0005X D0068080 MD

Addresses

Primary practice location

2401 Research Blvd
Suite 330
Rockville, MD 20850-3215

Mailing address

2401 Research Blvd
Suite 330
Rockville, MD 20850-3215
Phone (301) 686-8554

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081201000302 DC Practitioner - Internal Medicine 8123188711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr Jalli MD PCGroup PAC ID 5991002123, 2 clinicians
Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

Practice addresses (Care Compare)

2401 Research Blvd
Suite 330
Rockville, MD 20850-6255
Phone (301) 686-8554

6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844

Hospital & facility affiliations

  • Adventist Home Health Services, Inc. Home health agency, Silver Spring, MD, CCN 217032
  • Bayada Home Health Care, Inc Home health agency, Gaithersburg, MD, CCN 217158

Merit-based Incentive Payment System (MIPS)

Final score
93.21 of 100Reported as individual
Quality
93.73
Improvement activities
40
Cost
83.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0068080MDMDHypertension Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jalli MD PC Internal Medicine CurrentSince Jan 14, 2016 Accepting new patients
Inpatient Specialists PA Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2401 Research Blvd
Ste 330
Rockville, MD 20850
Phone (301) 686-8554

Organizations & group practices 5

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 2

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": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1942476783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 RESEARCH BLVD",
            "address_2": "SUITE 330",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503215",
            "telephone_number": "301-686-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 RESEARCH BLVD",
            "address_2": "SUITE 330",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503215",
            "telephone_number": "301-686-8554",
            "fax_number": "301-686-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALLI",
        "first_name": "SIREESHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0068080",
            "primary": true
        },
        {
            "code": "207RH0005X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hypertension Specialist",
            "state": "MD",
            "license": "D0068080",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.