Individual ProviderJayesh DayalAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address15001 Shady Grove Road Suite 120, Rockville, MD 20850-6352(301) 251-0070PECOS EnrollmentBased on the most recent information from CMS, provider Jayesh Dayal is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1306933627Provider TypeIndividualFull NameDayal, JayeshTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date10/6/2006Last Updated2/14/2024Contact InformationPractice LocationPractice Address15001 Shady Grove Road Suite 120, Rockville, MD 20850-6352Phone(301) 251-0070Fax(301) 251-0071Mailing LocationMailing Address15001 Shady Grove Road Suite 120, Rockville, MD 20850-6352Phone(301) 251-0070Fax(301) 251-0071Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicense0101050237VirginiaCode207L00000XDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseD0044144MarylandCode207LC0200XDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseD0044144MarylandCode207LP2900XDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseD0044144MarylandProvider IdentifiersIDDescriptionIssuerID588891300DescriptionMedicaidIssuerUnlistedMaryland