Individual provider Active NPI

Kirandeep Kaur, MD

  • Internal Medicine Physician
  • White Plains, MD
National Provider Identifier
1073742102
Registry record updated Sep 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D70900 Issued in MD
Practice address
4255 Altamont PL Ste 203
White Plains, MD 20695-3024
Phone
(301) 638-9505
Fax
(301) 705-8831
NPI assigned
Jul 10, 2009
Last updated
Sep 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D70900 MD Primary

Addresses

Primary practice location

4255 Altamont PL Ste 203
White Plains, MD 20695-3024

Mailing address

9940 Crain Hwy
Faulkner, MD 20632-2104
Phone (240) 319-1388

Other identifiers 1

IdentifierTypeStateIssuer
532115800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100827000179 MD Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1153445143 Reassigns benefits to 7 organizations
I20110324000472 DC Practitioner - Internal Medicine 1153445143 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10200 La Plata Rd
La Plata, MD 20646-3245
Phone (443) 949-0814

1801 Wentworth Rd
Baltimore, MD 21234-6128
Phone (410) 661-5717

3227 Bel Pre Rd
Silver Spring, MD 20906-2423
Phone (703) 751-7108

4255 Altamont PL
Suite 203
White Plains, MD 20695-3024
Phone (301) 638-9505

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mdics Rehabilitative Services - Ltcaco LLC Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Ansh Medical Group LLC Internal Medicine CurrentSince Sep 2, 2024 Accepting new patients
Mdics Rehabilitative Services LLC Internal Medicine CurrentSince Dec 24, 2011 Accepting new patients
Mdics at Civista LLC CurrentSince Dec 24, 2011 Accepting new patients
Alignmed Medical Group, PC CurrentSince Sep 11, 2024 Accepting new patients
Genesis Eldercare Physician Services LLC Internal Medicine CurrentSince Sep 5, 2014 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Jul 1, 2010 Accepting new patients
Dr Baig LLC CurrentSince Sep 8, 2024 Accepting new patients
Alignmed Partners, PC CurrentSince Jan 9, 2018 Accepting new patients
Genesis Eldercare Physician Services LLC Internal Medicine CurrentSince Jul 1, 2010 Accepting new patients
St. Mary's Nursing Center, Inc. Past Accepting new patients
Complete Care at la Plata LLC Past Accepting new patients

Locations

3330 Wilkens Ave
Baltimore, MD 21229
Phone (410) 525-1544

3939 Penhurst Ave
Baltimore, MD 21215
Phone (410) 664-9535

7520 Surratts Rd
Clinton, MD 20735
Phone (301) 856-1600

9211 Stuart Ln
Clinton, MD 20735
Phone (301) 868-3600

7420 Marlboro Pike
Forestville, MD 20747
Phone (301) 424-9560

347 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 633-5181

6934 Aviation Blvd
Ste B
Glen Burnie, MD 21061
Phone (443) 534-0575

121 Morris Dr
La Plata, MD 20646
Phone (410) 999-1133

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

1801 Wentworth Rd
Parkville, MD 21234
Phone (410) 661-5717

9200 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 390-2600

310 Genesis Way
Ste 600
Severna Park, MD 21146
Phone (410) 544-4220

2101 Fairland Rd
Silver Spring, MD 20904
Phone (301) 384-6161

2700 Barker St
Silver Spring, MD 20910
Phone (301) 565-0300

3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000

4255 Altamont Pl
Ste 203
White Plains, MD 20695
Phone (301) 638-9505

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St. Mary's Nursing Center, Inc.Leonardtown, MD, CCN 215013 Skilled nursing facility Contracted Managing Employee Jun 23, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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

Hospital & facility affiliations 4

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": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1073742102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9940 CRAIN HWY",
            "city": "FAULKNER",
            "state": "MD",
            "postal_code": "206322104",
            "telephone_number": "240-319-1388",
            "fax_number": "443-949-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 ALTAMONT PL STE 203",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953024",
            "telephone_number": "301-638-9505",
            "fax_number": "301-705-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "KIRANDEEP",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-10",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D70900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "532115800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, MD

Sources for this page

Verify at the official NPI Registry.