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Dr. Kiumars Elyasi , DDS

Dentist - General Practice β€’ Jessup, MD

Active NPI 1669468500 Individual Practitioner Male Practitioner
Practice location in NPPES

8450 Dorsey Run Rd
Jessup, MD 207949486

Call 4107243153 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

8450 Dorsey Run Rd

Jessup, MD 207949486

Telephone 4107243153
Organization at the Same NPPES Address or Phone
Clifton T. Perkins Hospital Center Facility NPI 1538151477

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

What Public CMS Data Show

Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $25.00 in 2021

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2021.

Guide: How to read an Open Payments record

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jessup and Maryland

3 active clinicians are listed under Dentist - General Practice with a practice address in Jessup, MD (2,410 in Maryland).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2021

Program year 2021 (payments made January 1 – December 31, 2021): fewer than 11 records totaling $25.00.

Manufacturer Payment Nature Product Type Amount ($)
Dentsply Sirona Inc
Food and Beverage
In-kind items and services
WaveOne Gold Conform Fit General $25.00

Source: CMS Open Payments, program year 2021, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES MD 10612

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Maryland Board of Physicians.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Dr. Snehdeep Hanspal , MD

Psychiatry & Neurology - Forensic Psychiatry

NPI 1245895283

Doctor of Medicine (M.D.)

Dr. Shanda Priest , MD

Psychiatry & Neurology - Psychiatry

NPI 1285609925

Doctor of Medicine (M.D.)

Dr. Neha Sharma , MD

Psychiatry & Neurology - Psychiatry

NPI 1881254571

Doctor of Medicine (M.D.)

Dr. Matthew Van Winkle , MD

Psychiatry & Neurology - Psychiatry

NPI 1962933390

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 8450 DORSEY RUN RD, JESSUP, MD 207949486 (Tel: 4107243153)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 2023 GEORGE WASHINGTON RD, VIENNA, VA 221823711 (Tel: 7037342023)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as KIUMARS ELYASI, D.D.S.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (license number reported to NPPES: MD 10612)

πŸ”„
NPI Profile Reactivated April 05, 2006

Record officially reactivated for active practice on April 05, 2006

⚠️
NPI Profile Deactivated March 24, 2006

NPPES lists this NPI as deactivated as of March 24, 2006; the reason is not published.

🟒
Initial NPI Registration & Enumeration September 26, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669468500
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

2023 George Washington Rd

Vienna, VA 221823711

Phone: 7037342023

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.