Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

James Ritchie Jezior, MD

Individual provider Urology Physician · NPI 1194889543

James Ritchie Jezior, MD is an Urology in Fairfax, Virginia. Graduated from Uniformed Services Uhs Fe Hebert School of Med in 1989, 37 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
37
Trained at
Uniformed Services Uhs Fe Hebert School of Med
Licensed in
VA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12255 Fair Lakes Pkwy Bldg 4TH
Fairfax, VA 22033-3952
Phone: (703) 934-4120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4f Walter Reed Army Medical Center Urology, Washington, DC 20307-0001 — (202) 782-0577

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 0101059361 (VA)

Record details

NPI number1194889543
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 20, 2006
Last updated in NPPESJune 6, 2021
Certification dateJune 6, 2021
Mailing address12041 Creekbend Dr, Reston, VA 20194-5629

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolUNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated 1989 (37 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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