Individual provider Active NPI

Carolyn Agnes Hammett, MD

  • Internal Medicine Physician
  • Hyattsville, MD
National Provider Identifier
1154331908
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0039966 Issued in MD
Practice address
1835 University Blvd E
Suite 226
Hyattsville, MD 20783-4600
Phone
(301) 431-4030
Fax
(301) 431-4826
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0039966 MD Primary

Addresses

Primary practice location

1835 University Blvd E
Suite 226
Hyattsville, MD 20783-4600

Mailing address

901 Sligo Creek Pkwy
Takoma Park, MD 20912-5810
Phone (301) 431-4030

Other identifiers 4

IdentifierTypeStateIssuer
0H36CA52078700OtherMDBC MD
264118OtherMDUHC
40090001OtherDCBC DC METRO
019941900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100907000344 DC Practitioner - Internal Medicine 8426947995 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Maryland School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

13952 Baltimore Ave
Laurel, MD 20707-5000
Phone (301) 490-1990

3007 Tilden St NW
Suite 5N
Washington, DC 20008-3030

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Care Center LLC Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients
Medstar Medical Group II LLC Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2021 Accepting new patients
Capital Healthcare PC Internal Medicine CurrentSince Apr 1, 2019 Accepting new patients
Privia Care Center LLC Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients
Privia Medical Group, LLC CurrentSince Jun 1, 2020 Accepting new patients
Privia Medical Group, LLC Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Carolyn a. Hammett MD PC Past Accepting new patients

Locations

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

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

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

8305 Wisconsin Ave
Bethesda, MD 20814
Phone (301) 800-7000

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

13952 Baltimore Ave
Laurel, MD 20707
Phone (301) 490-1990

3117 Duke St
Alexandria, VA 22314
Phone (703) 751-8800

6020 Richmond Hwy
Ste 102
Alexandria, VA 22303
Phone (267) 978-1993

Organizations & group practices 9

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 2

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1154331908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SLIGO CREEK PKWY",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209125810",
            "telephone_number": "301-431-4030",
            "fax_number": "301-431-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 UNIVERSITY BLVD E",
            "address_2": "SUITE 226",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207834600",
            "telephone_number": "301-431-4030",
            "fax_number": "301-431-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMETT",
        "first_name": "CAROLYN",
        "middle_name": "AGNES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0039966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC MD",
            "identifier": "0H36CA52078700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "264118",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC DC METRO",
            "identifier": "40090001",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019941900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

Verify at the official NPI Registry.