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DR. MARY JACKSON MD
NPI 1295312122
Pediatrics in Washington, DC

Active since March 26, 2021PECOS Enrolled
3800 RESERVOIR RD NW, WASHINGTON, DC 20007(202) 243-3400 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 30, 2025, Jun 26, 2024, May 19, 2021 and 1 more (4 updates tracked since 2021).

About Dr. Mary Jackson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY JACKSON MD (NPI 1295312122) is an individual pediatrics provider in Washington, District Of Columbia, licensed in District Of Columbia (MD500002817) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1295312122
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MARY JACKSONCredential: MD
Location Address3800 RESERVOIR RD NWWashington, DC 20007-2113
Mailing Address3800 Reservoir Rd NwWashington, DC 20007-2113
Phone(202) 243-3400
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 26, 2021
Last NPPES UpdateJune 30, 20254 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1295312122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in DC · MD500002817
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3800 RESERVOIR RD NW, Washington, DC 20007
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Jackson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658860655
PECOS Enrollment IDI20251030000228
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20007 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KAUSTUBH SUBHASH YADWADKAR M.D.
Radiology (Diagnostic Radiology)
3800 RESERVOIR RD NW, CG201
WASHINGTON, DC 20007
District of Columbia (304) 206-7595
FRED MO MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 444-8766
SEBLE YIRGA
Nurse Practitioner (Family)
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 444-7265
ARLETTE THOMPSON-PILE
Physical Therapy Assistant
3800 RESERVOIR RD NW, PHYSICAL MEDICINE AND REHBAILITATION DEPARTMENT
WASHINGTON, DC 20007
District of Columbia (202) 444-3689
JENNA ELIZABETH HOROWITZ
Physician Assistant (Surgical)
3800 RESERVOIR RD NW, NEUROSURGERY DEPARTMENT
WASHINGTON, DC 20007
District of Columbia (202) 444-2000
HALEY SWANSON FOSTER M.D.
Radiology (Vascular & Interventional Radiology)
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 444-5022
SOPHIA RIZVI MD
Radiology (Radiation Oncology)
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 444-2000
CLAIRE DALBY MD
Student in an Organized Health Care Education/Training Program
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 444-7106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Jackson's NPI number?

The NPI number for Mary Jackson is 1295312122. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Mary Jackson located?

Mary Jackson practices at 3800 Reservoir Rd NW, Washington, DC 20007. The listed phone number is (202) 243-3400.

What is Mary Jackson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mary Jackson enrolled in Medicare?

Yes. Mary Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Jackson was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.