Individual provider Active NPI

Suzanne Jaffe Walters, M.D.

  • Pediatric Orthopaedic Surgery Physician
  • Bethesda, MD
National Provider Identifier
1982677332
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
0101246103 Issued in VA
Practice address
10215 Fernwood Rd Ste 506
Bethesda, MD 20817-1184
Phone
(301) 530-1010
Fax
(301) 897-8597
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X D68313 MD
Pediatric Orthopaedic Surgery Physician 207XP3100X D0068313 MD
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X ME100003 FL
Pediatric Orthopaedic Surgery Physician 207XP3100X 0101246103 VA Primary

Addresses

Primary practice location

10215 Fernwood Rd Ste 506
Bethesda, MD 20817-1184

Mailing address

10215 Fernwood Rd Ste 506
Bethesda, MD 20817-1184
Phone (301) 530-1010

Other practice location 1

1715 N George Mason Dr Ste 504
Arlington, VA 22205-3670
Phone (703) 525-2200 ext. 113

Other practice location 2

1635 N George Mason Dr Ste 180
Arlington, VA 22205-3633
Phone (301) 530-1010

Other names 1

  • Dr. Suzanne Jaffe Former name

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
I20091209000356 DC Practitioner - Pediatric MedicinePractitioner - Orthopedic SurgeryPractitioner - Sports Medicine 5395809495 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0068313MDMDPediatric Orthopaedic Surgery Physician
0101246103VAMDPediatric Orthopaedic Surgery Physician
ME100003FLMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Chevy Chase Orthopaedic Associates, LLC CurrentSince Jan 1, 2022 Accepting new patients
Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery CurrentSince Sep 6, 2016 Accepting new patients
Children'S Hospital CurrentSince Jan 22, 2011 Accepting new patients
Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery Current Accepting new patients
Nirschl Orthopaedic Center for Sportsmedicine & Joint Reconstruction Orthopaedic Surgery CurrentSince May 1, 2018 Accepting new patients
Children'S Hospital CurrentSince Jan 22, 2011 Accepting new patients
Children'S Hospital Current Accepting new patients
Bethesda Chevy Chase Orthopaedic Associates, LLC Orthopaedic Surgery CurrentSince Jan 1, 2022 Accepting new patients
Pediatric Specialists of Virginia, LLC CurrentSince Feb 17, 2014 Accepting new patients
Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery CurrentSince Sep 6, 2016 Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

10215 Fernwood Rd
Ste 506
Bethesda, MD 20817
Phone (240) 482-2414

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

1635 N George Mason Dr
Ste 180
Arlington, VA 22205
Phone (703) 276-7798

1715 N George Mason Dr
Ste 504
Arlington, VA 22205
Phone (703) 525-2200

3023 Hamaker Ct
Ste 400
Fairfax, VA 22031
Phone (571) 226-8380

3023 Hamaker Ct
Ste 500
Fairfax, VA 22031
Phone (571) 766-3137

Interoperability endpoints

  • Direct secure messaging: suzannewalters@bccoallp.allscriptsdirect.net

Organizations & group practices 10

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1982677332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD STE 506",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171184",
            "telephone_number": "301-530-1010",
            "fax_number": "301-897-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD STE 506",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171184",
            "telephone_number": "301-530-1010",
            "fax_number": "301-897-8597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1715 N George Mason Dr Ste 504",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222053670",
            "country_code": "US",
            "telephone_number": "703-525-2200 x113",
            "fax_number": "703-522-2603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1635 N George Mason Dr Ste 180",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222053633",
            "country_code": "US",
            "telephone_number": "301-530-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "SUZANNE",
        "middle_name": "JAFFE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D68313",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "MD",
            "license": "D0068313",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME100003",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "VA",
            "license": "0101246103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "JAFFE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.