Individual provider Active NPI

Karolyn K Kabir, MD

  • Pediatrics Physician
  • Bethesda, MD
National Provider Identifier
1053458315
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0091208 Issued in MD
Practice address
4808 Moorland LN Ste 109
Bethesda, MD 20814-6131
Phone
(301) 654-9476
Fax
(301) 654-1164
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 37716 CO
Pediatrics Physician 208000000X 0101272348 VA
Pediatric Adolescent Medicine Physician 2080A0000X 37716 CO
Pediatric Adolescent Medicine Physician 2080A0000X D0091208 MD
Pediatric Adolescent Medicine Physician 2080A0000X 0101272348 VA
General Practice Physician 208D00000X 37716 CO
General Practice Physician 208D00000X 0101272348 VA
Pediatrics Physician 208000000X D0091208 MD Primary

Addresses

Primary practice location

4808 Moorland LN Ste 109
Bethesda, MD 20814-6131

Mailing address

4099 E 10TH Ave Unit 309
Denver, CO 80220-3878
Phone (303) 594-6165

Other practice location 1

4099 E 10th Ave Unit 309
Denver, CO 80220-3878
Phone (303) 594-6165

Other identifiers 3

IdentifierTypeStateIssuer
1013042480OtherVAPRIVIA HEALTH
026262OtherCOKAISER COMMERCIAL NUMBER
31427359MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210922002818 DC Practitioner - Pediatric Medicine 0042260895 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0091208MDMDPediatrics Physician
37716COMDPediatric Adolescent Medicine Physician
0101272348VAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Sep 1, 2021 Accepting new patients
Privia Medical Group, LLC Pediatrics CurrentSince Sep 1, 2021 Accepting new patients

Locations

4808 Moorland Ln
Ste 109
Bethesda, MD 20814
Phone (301) 654-9476

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1053458315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4099 E 10TH AVE UNIT 309",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203878",
            "telephone_number": "303-594-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4808 MOORLAND LN STE 109",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146131",
            "telephone_number": "301-654-9476",
            "fax_number": "301-654-1164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4099 E 10th Ave Unit 309",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802203878",
            "country_code": "US",
            "telephone_number": "303-594-6165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KABIR",
        "first_name": "KAROLYN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "37716",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101272348",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CO",
            "license": "37716",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MD",
            "license": "D0091208",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "VA",
            "license": "0101272348",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CO",
            "license": "37716",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101272348",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0091208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVIA HEALTH",
            "identifier": "1013042480",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "026262",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31427359",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.