DR. JEFFERY JAWNI DORMU D.O. NPI 1366430316

NPI Information

  • NPI: 1366430316
  • Provider Name: DR. JEFFERY JAWNI DORMU, D.O.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8730 CHERRY LANE
    SUITE 10
    LAUREL, MD
    ZIP 20707
  • Phone: (301) 497-1590

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NPI Details

DR. Jeffery Jawni Dormu, D.O. is a vascular surgery surgery in Laurel, MD with 28 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Jeffery Jawni Dormu, D.O. NPI is 1366430316. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year:1998

The provider's business location address is:

8730 CHERRY LANE
SUITE 10
LAUREL, MD
ZIP 20707
Phone: (301) 497-1590
Fax: (240) 334-4781

The NPI 1366430316 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Complete ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93975)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance (HCPCS:36475)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond (HCPCS:36248)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel (HCPCS:37253)
  • Removal of plaque in artery of leg, initial vessel (HCPCS:37229)
  • Injection of chemical agent into single incompetent vein of leg using ultrasound guidance (HCPCS:36465)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound evaluation of blood vessel with review by radiologist, initial vessel (HCPCS:37252)
  • Destruction of subsequent incompetent veins of arm or leg using radiofrequency and imaging guidance (HCPCS:36476)
  • Review by radiologist of abdominal artery image (HCPCS:75726)
  • Insertion of tube into first order main and accessory arteries of both kidneys for imaging with review by radiologist (HCPCS:36252)
  • Removal of plaque in arteries of leg (HCPCS:37225)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Removal of plaque in artery of leg, each additional vessel (HCPCS:37233)

The enumeration date for this NPI number is 10/12/2005 and was last updated on 7/18/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryH0065639MARYLANDNo
2208600000XSurgeryDO034245DISTRICT OF COLUMBIANo
32086S0129XSurgeryVascular SurgeryH0065639MARYLANDNo
4208600000XSurgery25MB07611900NEW JERSEYNo
52086S0129XSurgeryVascular SurgeryD0034245DISTRICT OF COLUMBIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10048615MEDICAIDNEW JERSEY
2I22877MEDICARE UPINNEW JERSEY
3I22877MEDICARE UPIN
4031107300MEDICAIDMARYLAND
5150945ZDKPMEDICARE OSCAR/CERTIFICATION
6054737700MEDICAIDDISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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