Individual provider Active NPI

Kristina Kathleen Hibshman, M.D.

  • Obstetrics & Gynecology Physician
  • Alexandria, VA
National Provider Identifier
1124100169
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101242392 Issued in VA
Practice address
4660 Kenmore Ave
Suite 1100
Alexandria, VA 22304-1313
Phone
(703) 370-0400
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 0101242392 VA Primary

Addresses

Primary practice location

4660 Kenmore Ave
Suite 1100
Alexandria, VA 22304-1313

Mailing address

4660 Kenmore Ave
Suite 1100
Alexandria, VA 22304-1313
Phone (703) 370-0400

Other names 1

  • Dr. Kristina Kathleen Cook Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20120106000110 DC Practitioner - Obstetrics/Gynecology 6709052178 Reassigns benefits to 7 organizations
I20231107001485 VA Practitioner - Obstetrics/Gynecology 6709052178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Cincinnati College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Physicians Edge LLCGroup PAC ID 5890913503, 73 clinicians
The Physician and Midwife Collaborative PracticeGroup PAC ID 0648166405, 21 clinicians

Practice addresses (Care Compare)

12508 Lake Ridge Dr
Woodbridge, VA 22192-2354
Phone (703) 370-4300

4660 Kenmore Ave
Suite 902
Alexandria, VA 22304-1306
Phone (703) 370-4300

Hospital & facility affiliations

  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050
  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101242392VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Aug 3, 2021 Accepting new patients
Privia Medical Group, LLC Single Specialty CurrentSince Aug 3, 2021 Accepting new patients
Medical Faculty Associates, Inc Single Specialty CurrentSince Jul 1, 2014 Accepting new patients
Colin S Walters MD P C Single Specialty CurrentSince Jun 17, 2024 Accepting new patients
Fairfax Loudoun OBGYN, Inc Single Specialty CurrentSince Jul 21, 2021 Accepting new patients
The Physician and Midwife Collaborative Practice Single Specialty CurrentSince Jun 2, 2023 Accepting new patients
The Physician and Midwife Collaborative Practice Single Specialty Past Accepting new patients

Locations

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

2021 K St NW
Ste 408
Washington, DC 20006
Phone (202) 223-1024

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

5901 Kingstowne Village Pkwy
Ste 200
Alexandria, VA 22315
Phone (703) 370-4300

4660 Kenmore Ave
Ste 1100
Alexandria, VA 22304
Phone (703) 370-0073

4660 Kenmore Ave
Alexandria, VA 22304
Phone (703) 370-2132

4660 Kenmore Ave
Ste 902
Alexandria, VA 22304
Phone (703) 370-4300

2616 Sherwood Hall Ln
Ste 208
Alexandria, VA 22306
Phone (703) 780-6900

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

3803 Fairfax Dr
Ste 500
Arlington, VA 22203
Phone (703) 842-0602

1701 N George Mason Dr
#414
Arlington, VA 22205
Phone (703) 558-5490

3930 Pender Dr
Ste 60
Fairfax, VA 22030
Phone (571) 249-0717

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

12508 Lake Ridge Dr
Woodbridge, VA 22192
Phone (703) 370-4300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5652/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kristina.hibshman.1@7917.direct.athenahealth.com

Organizations & group practices 10

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 3

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1124100169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE",
            "address_2": "SUITE 1100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041313",
            "telephone_number": "703-370-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE",
            "address_2": "SUITE 1100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041313",
            "telephone_number": "703-370-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBSHMAN",
        "first_name": "KRISTINA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101242392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "COOK",
            "middle_name": "KATHLEEN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.