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JASSI PRIMARY CARE PA
NPI 1306310073
Internal Medicine in Glen Burnie, MD

Active since January 16, 2019CLIA 21D2165405 · Waiver
325 HOSPITAL DR STE 205, GLEN BURNIE, MD 21061(443) 410-3161(443) 410-3199 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2021, Aug 14, 2019, Feb 6, 2019 and 2 more (5 updates tracked since 2019).

About Jassi Primary Care Pa NPPES

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

JASSI PRIMARY CARE PA (NPI 1306310073) is a healthcare organization registered as an internal medicine in Glen Burnie, Maryland and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through April 25, 2027, maintains 2 additional practice locations, and lists Kiran Jassi, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1306310073
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJASSI PRIMARY CARE PA
Location Address325 HOSPITAL DR STE 205Glen Burnie, MD 21061-5807
Mailing Address325 Hospital Dr Ste 205Glen Burnie, MD 21061-5807 · (443) 410-3161 · Fax (443) 410-3199
Phone(443) 410-3161
Fax(443) 410-3199
Organization SubpartNo
Authorized OfficialKiran JassiOffice Manager · (443) 410-3161
Enumeration DateJanuary 16, 2019
Last NPPES UpdateJuly 9, 20215 updates tracked since enumeration
NPPES CertifiedJuly 9, 2021
✔ NPI 1306310073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
325 HOSPITAL DR STE 205, Glen Burnie, MD 21061
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Secondary Practice Locations 2

Location 1325 Hospital Dr Ste 205Glen Burnie, MD 21061 · Phone (443) 410-3161 · Fax (443) 410-3199
Location 27625 Maple Lawn Blvd Ste 145Fulton, MD 20759-2565 · Phone (443) 410-3161 · Fax (443) 410-3199

Other Identifiers 1

Medicaid68100400MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2165405

Jassi Primary Care PA · Glen Burnie, MD
Active · expires Apr 25, 2027
CLIA Number21D2165405
Laboratory TypePhysician Office
Certificate Effective DateApril 26, 2025
Certificate Expiration DateApril 25, 2027
Laboratory DirectorSukhpal Jassi
Laboratory Phone(443) 410-3161
Laboratory LocationJassi Primary Care PA325 Hospital Dr Suite 205, Glen Burnie, MD 21061
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. SUKHPAL I JASSI M.D
Internal Medicine
325 HOSPITAL DR STE 205
GLEN BURNIE, MD 21061
Anne Arundel County (443) 410-3161

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 Jassi Primary Care PA's NPI number?

The NPI number for Jassi Primary Care PA is 1306310073. It was assigned to this organization in the NPPES registry on January 16, 2019.

Where is Jassi Primary Care PA located?

Jassi Primary Care PA is located at 325 Hospital Dr Ste 205, Glen Burnie, MD 21061. The listed phone number is (443) 410-3161.

What is Jassi Primary Care PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Jassi Primary Care PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2165405) is associated with this NPI, valid through April 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jassi Primary Care PA was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.