DR. JEFFERY JAWNI DORMU D.O.
NPI 1366430316
Surgery - Vascular Surgery in Laurel, MD
About Dr. Jeffery Jawni Dormu D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEFFERY JAWNI DORMU D.O. (NPI 1366430316) is an individual vascular surgery provider in Laurel, Maryland, licensed in District Of Columbia (D0034245) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 6
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jeffery Jawni Dormu D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jeffery Dormu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Laurel, MD 20708
- Reassigned Medicare billing, Maryland enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20707 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAUREL, MD 20707
LAUREL, MD 20707
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 Jeffery Dormu's NPI number?
The NPI number for Jeffery Dormu is 1366430316. It was assigned to this individual provider in the NPPES registry on October 12, 2005.
Where is Jeffery Dormu located?
Jeffery Dormu practices at 8730 Cherry Lane Suite 10, Laurel, MD 20707. The listed phone number is (301) 497-1590.
What is Jeffery Dormu's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Jeffery Dormu enrolled in Medicare?
Yes. Jeffery Dormu is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jeffery Dormu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffery Dormu reassigns Medicare benefits to Vitalize Medical Vascular And Wellness Center LLC (Laurel, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffery Dormu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jeffery Dormu was last updated on July 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Jeffery Jawni Dormu, D.O. · NPI 1366430316
Vascular Surgery physician in Laurel, Maryland. Individual provider, active in the CMS NPPES registry since October 12, 2005.
## Identity
- **NPI:** 1366430316 (Entity type: Individual)
- **Enumerated:** October 12, 2005
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **State license:** D0034245 (District of Columbia)
- **Sole proprietor:** No
## Practice location
- **Address:** 8730 CHERRY LANE, SUITE 10, Laurel, MD 20707
- **Phone:** (301) 497-1590 · **Fax:** (240) 334-4781
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Vitalize Medical Vascular And Wellness Center LLC (NPI 1366202764, Laurel, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 18, 2012
- **Other identifiers:** Medicaid 0048615 (NJ); Medicare UPIN I22877 (NJ); Medicare UPIN I22877; and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1366430316) · Data from the CMS NPPES public registry.