Individual provider Active NPI

Kestutis J Pauliukonis, M.D.

  • Anesthesiology Physician
  • Rockville, MD
National Provider Identifier
1104872191
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D47788 Issued in MD
Practice address
14820 Physicians LN
242
Rockville, MD 20850-3945
Phone
(301) 838-9606
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D47788 MD Primary

Addresses

Primary practice location

14820 Physicians LN
242
Rockville, MD 20850-3945

Mailing address

1813 Solitaire LN
MC Lean, VA 22101-4218

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
I20040526001490 MD Practitioner - Anesthesiology 7618958521 Reassigns benefits to 1 organization
I20040608001311 DC Practitioner - Anesthesiology 7618958521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Georgetown University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Colonies Anesthesia Associates, LLCGroup PAC ID 8426039744, 339 clinicians

Practice addresses (Care Compare)

11210 Old Georgetown Rd
Rockville, MD 20852-3202
Phone (301) 881-7770

9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (240) 826-7324

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.85 of 100Reported as group
Quality
57.47
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
First Colonies Anesthesia Associates, LLC Anesthesiology CurrentSince Apr 1, 2004 Accepting new patients

Locations

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

1212 York Rd
Ste C201
Lutherville, MD 21093
Phone (410) 282-5699

11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770

11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688

Organizations & group practices 1

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 1

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104872191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 SOLITAIRE LN",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14820 PHYSICIANS LN",
            "address_2": "242",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503945",
            "telephone_number": "301-838-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULIUKONIS",
        "first_name": "KESTUTIS",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D47788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.