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

Kasandra Rae Dassoulas

Individual provider Plastic Surgery Physician · NPI 1063702223

Kasandra Rae Dassoulas is a Plastic and Reconstructive Surgery in Kensington, Maryland. Graduated from University of Virginia School of Medicine in 2011, 15 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
15
Trained at
University of Virginia School of Medicine
Licensed in
MD
In the registry since
2011

Practice location Address checks out

10810 Connecticut Ave
Kensington, MD 20895-2138
Phone: (434) 326-7386
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 227 St. Paul Place, Baltimore, MD 21202 — (410) 332-9700
  • 1215 Lee St, Charlottesville, VA 22908-0136 — (434) 924-1234
  • 11934 W Broad St Ste 200, Richmond, VA 23233 — (804) 424-2000

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence D83761 (MD)

Record details

NPI number1063702223
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2011
Last updated in NPPESJune 21, 2021
Certification dateJune 17, 2021

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 2011 (15 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

Other providers in Kensington