Mrunalini A Chakurkar, M.D.
Individual provider Active NPI Pulmonary Disease Physician · Lansdowne, VA
NPI 1144210295 · NPPES record last updated Jun 6, 2021
Key facts
- NPI
- 1144210295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 0101232230 (VA)
- Practice address
- 44055 Riverside Pkwy
Suite 204
Lansdowne, VA 20176-5179 - Phone
- (703) 858-3333
- Fax
- (703) 858-3330
- NPI assigned
- Oct 28, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Practice addresses (Care Compare)
1201 Hospital Dr
Fredericksburg, VA 22401-8428
Phone (540) 368-3700
1221 Mercantile LN
Largo, MD 20774-5374
Phone (301) 618-5700
8008 Westpark Dr
MC Lean, VA 22102-3109
Phone (703) 287-6400
Hospital & facility affiliations
- Virginia Hospital Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in DC, VA, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040407001391 | DC | Practitioner - Pulmonary Disease |
7012900665 | Reassigns benefits to 1 organization |
| I20050818000143 | VA | Practitioner - Internal Medicine |
7012900665 | Reassigns benefits to 1 organization |
| I20150529000092 | MD | Practitioner - Pulmonary Disease | 7012900665 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary and Critical Care Associates, P.C. | Pulmonary Disease | Current |
Accepting new patients |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Pulmonary Disease | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
7070 Samuel Morse Dr
Columbia, MD 21046
Phone (410) 309-4600
7190 Crestwood Blvd
Frederick, MD 21703
Phone (240) 529-1700
2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853
2101 E Jefferson St
Ste 4E
Rockville, MD 20852
Phone (301) 816-7405
2101 E Jefferson St
Ste 6
Rockville, MD 20852
2101 E Jefferson St
Ste 4EAST
Rockville, MD 20852
2101 E Jefferson St
#4E
Rockville, MD 20852
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
19455 Deerfield Ave
Ste 206
Leesburg, VA 20176
Phone (703) 858-9608
44055 Riverside Pkwy
Ste 204
Leesburg, VA 20176
Phone (703) 858-3333
1860 Town Center Dr
Reston, VA 20190
Phone (571) 313-0349
1830 Town Center Dr
Ste 401
Reston, VA 20190
Phone (703) 318-8157
1860 Town Center Dr
Ste 270
Reston, VA 20190
Phone (703) 318-8157
8008 Westpark Dr
Tysons Corner, VA 22102
Phone (703) 287-6400
14139 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 257-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 0101232230 | VA | Yes |
Addresses
Primary practice location
44055 Riverside Pkwy
Suite 204
Lansdowne, VA 20176-5179
Mailing address
8008 Westpark Dr
MC Lean, VA 22102-3109
Phone (703) 287-1079
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010177251 | Medicaid | VA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Other providers in Lansdowne, VA
- Megan Bureau
- Shannon Marie Butler
- Ryan Carboneau
- Anna Blue Catlett
- Centers for Advanced Orthopaedics, LLC
- Banti D Chand
- Christina Eunha Choi Chang
- Hong Hanh T Chau
- Keri Church
- Anne Elizabeth Clark
All providers in Lansdowne, VA · Pulmonary Disease Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.