Individual provider Active NPI

Kunal Ajmera

  • Family Medicine Physician
  • Parkville, MD
National Provider Identifier
1134548894
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D82404 Issued in MD
Practice address
8813 Waltham Woods Rd Ste 204
Parkville, MD 21234-2577
Phone
(410) 661-4670
NPI assigned
Apr 9, 2014
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D82404 MD Primary

Addresses

Primary practice location

8813 Waltham Woods Rd Ste 204
Parkville, MD 21234-2577

Mailing address

8813 Waltham Woods Rd Ste 204
Parkville, MD 21234-2577
Phone (312) 806-0353

Other practice location 1

3110 MacCorkle Ave SE
Charleston, WV 25304-1210
Phone (304) 388-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, 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
I20220316003284 VA Practitioner - HospitalistPractitioner - Family Practice 6406075779 Reassigns benefits to 3 organizations
I20231011003025 DC Practitioner - HospitalistPractitioner - Family Practice 6406075779 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

224 A Cornwall St NW
Leesburg, VA 20176-2701
Phone (703) 771-2837

224 B Cornwall NWST
Leesburg, VA 20176-2701

224 Cornwall St NW
Leesburg, VA 20176-2701
Phone (703) 771-2894

44045 Rivderside Pkwy
Leesburg, VA 20176-5101

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Critical Care Medicine Services East, LLC CurrentSince Sep 1, 2023 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Jun 1, 2023 Accepting new patients
Inova Health Care Services CurrentSince Apr 29, 2024 Accepting new patients
Uva Community Health Medical Group, LLC Family Medicine CurrentSince Jun 1, 2023 Accepting new patients
Southeastern Intensivist Services PC CurrentSince Jan 19, 2022 Accepting new patients
Usacs Integrated Acute Care Services of Maryland, LLC CurrentSince Sep 1, 2023 Accepting new patients
Inova Health Care Services CurrentSince Apr 29, 2024 Accepting new patients
Adventist Healthcare, Inc. Past Accepting new patients

Locations

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

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

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

Interoperability endpoints

  • Direct secure messaging: kajmera1282351@soc.inova.org
  • Direct secure messaging: kajmera560657@direct.healthsystem.virginia.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1134548894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8813 WALTHAM WOODS RD STE 204",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212342577",
            "telephone_number": "312-806-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8813 WALTHAM WOODS RD STE 204",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212342577",
            "telephone_number": "410-661-4670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3110 MacCorkle Ave SE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253041210",
            "country_code": "US",
            "telephone_number": "304-388-4600",
            "fax_number": "304-388-4621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AJMERA",
        "first_name": "KUNAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D82404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

Verify at the official NPI Registry.