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DR. KAVITA SRIVASTAVA JACKSON M.D.
NPI 1497136600
Emergency Medicine in Silver Spring, MD

Active since June 12, 2015PECOS EnrolledAccepts Medicare Assignment
1500 FOREST GLEN RD DEPT OF, SILVER SPRING, MD 20910(301) 754-7000 Get Directions Write a Review

NPPES record last updated: June 19, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kavita Srivastava Jackson M.d. NPPES

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

DR. KAVITA SRIVASTAVA JACKSON M.D. (NPI 1497136600) is an individual emergency medicine provider in Silver Spring, Maryland, licensed in Maryland (D0086968) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1497136600
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. KAVITA SRIVASTAVA JACKSONCredential: M.D.
Location Address1500 FOREST GLEN RD DEPT OFSilver Spring, MD 20910-1460
Mailing Address1500 Forest Glen Rd, Dept Of Emergency MedicineSilver Spring, MD 20910-1484 · (301) 754-7000
Phone(301) 754-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 12, 2015
Last NPPES UpdateJune 19, 2019
✔ NPI 1497136600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MD · D0086968
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT209033 (PA)
1500 FOREST GLEN RD DEPT OF, Silver Spring, MD 20910
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Secondary Practice Location 1

Location 15501 Old York RdPhiladelphia, PA 19141-3018 · Phone (215) 456-3834

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kavita Srivastava Jackson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012247679
PECOS Enrollment IDI20251211002497
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Kavita Jackson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cep America LLC
Same address
Emergency Medicine
1500 FOREST GLEN RD
Silver Spring, MD 20910
  • Reassigned Medicare billing, District of Columbia enrollment
  • 105 clinicians in this Medicare group
NPI 1851286041 (301) 754-7000
Emergency Medicine Associates P.A., P.C.
9.5 mi
Internal Medicine
8200 GOOD LUCK RD
Lanham, MD 20706
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,150 clinicians in this Medicare group
NPI 1508721846 (301) 623-4352
Mep Health, LLC
11 mi
Emergency Medicine
9901 MEDICAL CENTER DR
Rockville, MD 20850
  • Reassigned Medicare billing, District of Columbia enrollment
  • 251 clinicians in this Medicare group
NPI 1164483558 (330) 493-4443
Pine Tree Urgent Care LLC
583 mi
Urgent Care
557 HAMMOND ST
Bangor, ME 04401
  • Reassigned Medicare billing, Maine enrollment
  • 5 clinicians in this Medicare group
NPI 1679450969 (207) 239-9757

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
354 services341 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
162 services158 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
86 services85 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
21 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holy Cross Hospital

Acute Care Hospitals · Silver Spring, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210004
Location1500 Forest Glen RoadSilver Spring, MD 20910 · Montgomery County
Birthing friendly

Holy Cross Germantown Hospital

Acute Care Hospitals · Germantown, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210065
Location19801 Observation DriveGermantown, MD 20876 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20910 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.

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 Kavita Jackson's NPI number?

The NPI number for Kavita Jackson is 1497136600. It was assigned to this individual provider in the NPPES registry on June 12, 2015.

Where is Kavita Jackson located?

Kavita Jackson practices at 1500 Forest Glen Rd Dept Of, Silver Spring, MD 20910. The listed phone number is (301) 754-7000.

What is Kavita Jackson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kavita Jackson enrolled in Medicare?

Yes. Kavita Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kavita Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kavita Jackson reassigns Medicare benefits to 4 organizations: Cep America LLC (Silver Spring, MD), Emergency Medicine Associates P.A., P.C. (Lanham, MD), Mep Health, LLC (Rockville, MD) and Pine Tree Urgent Care LLC (Bangor, ME). Each 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 Kavita Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kavita Jackson affiliated with any hospitals?

According to CMS data, Kavita Jackson is affiliated with Holy Cross Hospital and Holy Cross Germantown Hospital.

When was this NPI record last updated?

The NPPES record for Kavita Jackson was last updated on June 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.