Active NPI
Moti L Koul, M.D.
- Pulmonary Disease Physician
- Temple Hills, MD
National Provider Identifier
1124024526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- D24020
- Practice address
- 4467 Old Branch Ave
Ste 203
Temple Hills, MD 20748-1854 - Phone
- (301) 899-1212
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | D24020 | MD | Primary |
Addresses
Primary practice location
4467 Old Branch Ave
Ste 203
Temple Hills, MD 20748-1854
Mailing address
4206 Kimbrelee CT
Alexandria, VA 22309-3000
Phone (703) 799-0385
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79447-1300 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D24020 | MD | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222387200000",
"number": "1124024526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4206 KIMBRELEE CT",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223093000",
"telephone_number": "703-799-0385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4467 OLD BRANCH AVE",
"address_2": "STE 203",
"city": "TEMPLE HILLS",
"state": "MD",
"postal_code": "207481854",
"telephone_number": "301-899-1212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOUL",
"first_name": "MOTI",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2008-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MD",
"license": "D24020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "79447-1300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Temple Hills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.