Individual provider Active NPI

Kamal Deol, M.D.

  • Family Medicine Physician
  • Rockville, MD
National Provider Identifier
1114260106
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D86458 Issued in MD
Practice address
14955 Shady Grove Rd Ste 100
Rockville, MD 20850
Phone
(301) 990-3190
NPI assigned
Mar 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27045 WV
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X D86458 MD Primary

Addresses

Primary practice location

14955 Shady Grove Rd Ste 100
Rockville, MD 20850

Mailing address

9910 Franklin Square Dr Ste 2110
Baltimore, MD 21236-4902

Other practice location 1

203 E 4th Ave
Ranson, WV 25438-1617
Phone (304) 725-6343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, DC, MD3 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
I20160923000631 WV Practitioner - Family Practice 8426350133 Reassigns benefits to 1 organization
I20190218001648 DC Practitioner - Family Practice 8426350133 Reassigns benefits to 1 organization
I20190218001759 MD Practitioner - Family Practice 8426350133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Johns Hopkins Community Physicians, IncGroup PAC ID 8325943707, 764 clinicians
Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

Practice addresses (Care Compare)

14207 Park Ctr Dr
Suite 102
Laurel, MD 20707-5255
Phone (301) 604-5254

14955 Shady Grove Rd
Suite 100
Rockville, MD 20850-8728
Phone (301) 990-3190

6410 Rockledge Dr
Bethesda, MD 20817-1844

Hospital & facility affiliations

  • Adventist Home Health Services, Inc. Home health agency, Silver Spring, MD, CCN 217032
  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D86458MDMDFamily Medicine Physician
27045WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Healthcare Physicians Inc CurrentSince Aug 15, 2016 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Feb 4, 2019 Accepting new patients
University Healthcare Physicians, Inc. Family Medicine CurrentSince Aug 15, 2016 Accepting new patients
Johns Hopkins Community Physicians, Inc Family Medicine CurrentSince Feb 4, 2019 Accepting new patients
Johns Hopkins Community Physicians, Inc Current Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Feb 4, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

14955 Shady Grove Rd
Ste 100
Rockville, MD 20850
Phone (301) 990-3190

2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436

203 E 4th Ave
#C
Ranson, WV 25438
Phone (304) 725-6343

203 E 4th Ave
Ranson, WV 25438
Phone (304) 535-6343

Interoperability endpoints

  • Direct secure messaging: kdeol507640@direct.hopkinsmedicine.org

Organizations & group practices 8

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 2

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": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1114260106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 FRANKLIN SQUARE DR STE 2110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14955 SHADY GROVE RD STE 100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20850",
            "telephone_number": "301-990-3190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 E 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Ranson",
            "state": "WV",
            "postal_code": "254381617",
            "country_code": "US",
            "telephone_number": "304-725-6343",
            "fax_number": "304-725-5523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEOL",
        "first_name": "KAMAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "27045",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D86458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.