Individual provider Active NPI

Kelly K Johnson-Arbor, M.D.

  • Medical Toxicology (Emergency Medicine) Physician
  • Washington, DC
National Provider Identifier
1124061742
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Toxicology (Emergency Medicine) PhysicianTaxonomy code 207PT0002X
License
MD043120 Issued in DC
Practice address
3800 Reservoir Rd NW
Bles Building, First Floor
Washington, DC 20007-2113
Phone
(202) 444-3059
Fax
(202) 444-2130
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Toxicology (Emergency Medicine) Physician 207PT0002X MD043120 DC Primary

Addresses

Primary practice location

3800 Reservoir Rd NW
Bles Building, First Floor
Washington, DC 20007-2113

Mailing address

3800 Reservoir Rd NW
Bles Building 1St Floor
Washington, DC 20007-2113
Phone (202) 444-3059

Other identifiers 3

IdentifierTypeStateIssuer
094517600MedicaidDC
954132200MedicaidMD
001424472MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, 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
I20041111000743 CT Practitioner - Emergency Medicine 5294798047 Reassigns benefits to 3 organizations
I20150909001160 DC Practitioner - Plastic and Reconstructive SurgeryPractitioner - General SurgeryPractitioner - Emergency Medicine 5294798047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Emergency Medicine, General Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 444-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital CurrentSince Oct 1, 2004 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2018 Accepting new patients
Hartford Hospital CurrentSince Mar 1, 2005 Accepting new patients
Hartford Hospital CurrentSince Oct 1, 2004 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

3800 Reservoir Rd NW
Lowr
Washington, DC 20007
Phone (202) 444-6680

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

3800 Reservoir Rd NW
Bldg 1ST
Washington, DC 20007
Phone (202) 444-0965

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3800 Reservoir Rd NW
Bldg First
Washington, DC 20007
Phone (202) 444-1644

Organizations & group practices 7

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1124061742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW",
            "address_2": "BLES BUILDING 1ST FLOOR",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "202-444-3059",
            "fax_number": "202-444-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW",
            "address_2": "BLES BUILDING, FIRST FLOOR",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "202-444-3059",
            "fax_number": "202-444-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-ARBOR",
        "first_name": "KELLY",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PT0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Medical Toxicology",
            "state": "DC",
            "license": "MD043120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094517600",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "954132200",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001424472",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.