Individual provider Active NPI

Kaustubh Subhash Yadwadkar, M.D.

  • Diagnostic Radiology Physician
  • Washington, DC
National Provider Identifier
1003064395
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD041651 Issued in DC
Practice address
3800 Reservoir Rd NW
Cg201
Washington, DC 20007-2113
Phone
(304) 206-7595
NPI assigned
Aug 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT036319 PA
Diagnostic Radiology Physician 2085R0202X MD041651 DC Primary

Addresses

Primary practice location

3800 Reservoir Rd NW
Cg201
Washington, DC 20007-2113

Mailing address

3800 Reservoir Rd NW
Cg201
Washington, DC 20007-2113
Phone (304) 206-7595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140905000727 DC Practitioner - Diagnostic Radiology 5597983403 Reassigns benefits to 3 organizations
I20160503001666 MD Practitioner - Diagnostic Radiology 5597983403 Reassigns benefits to 4 organizations
I20250930003133 VA Practitioner - Diagnostic Radiology 5597983403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
West Virginia University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Washington Healthcare Providers LLCGroup PAC ID 1456629369, 264 clinicians
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Physician Imaging of Washington Hospital Center LLCGroup PAC ID 6204910292, 102 clinicians
Medstar Medical Group - Southern Maryland LLCGroup PAC ID 1355667056, 241 clinicians

Practice addresses (Care Compare)

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-5610

110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-7000

12 Medstar Blvd
Bel Air, MD 21015-1798
Phone (443) 625-5430

12158 Central Ave
Suite 100
Mitchellville, MD 20721-1932
Phone (301) 430-2750

13950 Brandywine Rd
Brandywine, MD 20613-5815
Phone (240) 546-3000

1659 Colonial Hills Dr
MC Lean, VA 22102-2947
Phone (301) 215-9420

18101 Prince Philip Dr
Olney, MD 20832-1514
Phone (301) 215-9420

24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900

5454 Wisconsin Ave
Suite 1700
Bethesda, MD 20815-6951
Phone (301) 841-8300

9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone (443) 777-7000

Hospital & facility affiliations

  • Medstar Montgomery Medical Center Hospital, Olney, MD, CCN 210018
  • Medstar Georgetown University Hospital Hospital, Washington, DC, CCN 090004
  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022
  • Medstar Southern Maryland Hospital Center Hospital, Clinton, MD, CCN 210062
  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Merit-based Incentive Payment System (MIPS)

Final score
81.41 of 100Reported as group
Quality
61.45
Promoting interoperability
96
Improvement activities
40
Cost
79.91

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT036319PAMDInternal Medicine Physician
MD041651DCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group Radiology, LLC Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Physician Imaging of Washington Hospital Center LLC Diagnostic Radiology CurrentSince Apr 1, 2016 Accepting new patients
Medstar Medical Group II LLC Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Physician Imaging of Washington Hospital Center LLC Diagnostic Radiology CurrentSince May 1, 2016 Accepting new patients
Physician Imaging of Washington Hospital Center, LLC Diagnostic Radiology CurrentSince Apr 1, 2016 Accepting new patients
Mary Washington Healthcare Providers LLC Diagnostic Radiology CurrentSince Aug 11, 2025 Accepting new patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
Medstar Medical Group II LLC CurrentSince Aug 1, 2024 Accepting new patients
Medstar Medical Group - Southern Maryland LLC Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients

Locations

1133 21st St NW
Ste 801
Washington, DC 20036
Phone (202) 748-8830

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

3800 Reservoir Rd NW
#201
Washington, DC 20007
Phone (304) 206-7595

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

110 Irving St NW
Rm BA94
Washington, DC 20010
Phone (202) 877-6429

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

12 Medstar Blvd
Bel Air, MD 21015
Phone (410) 877-8087

13950 Brandywine Rd
Brandywine, MD 20613
Phone (301) 782-2220

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

5454 Wisconsin Ave
Ste 1700
Chevy Chase, MD 20815
Phone (301) 656-8100

5454 Wisconsin Ave
Ste 1100
Chevy Chase, MD 20815
Phone (855) 546-1872

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

12158 Central Ave
Ste 100
Mitchellville, MD 20721
Phone (301) 430-2750

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

2118 Greenspring Dr
Ste 100
Timonium, MD 21093
Phone (443) 470-1070

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

101 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 741-3340

Interoperability endpoints

  • Direct secure messaging: kyadwadkar138484@marywashingtonhealthcare.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1003064395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW",
            "address_2": "CG201",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "304-206-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW",
            "address_2": "CG201",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "304-206-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YADWADKAR",
        "first_name": "KAUSTUBH",
        "middle_name": "SUBHASH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-29",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT036319",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD041651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.