Individual provider Active NPI

Michael B Kusic, M.D.

  • Obstetrics & Gynecology Physician
  • Alexandria, VA
National Provider Identifier
1154392900
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101232455 Issued in VA
Practice address
6355 Walker LN Ste 508
Alexandria, VA 22310-3251
Phone
(703) 971-7633
Fax
(703) 971-0997
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101232455 VA Primary

Addresses

Primary practice location

6355 Walker LN Ste 508
Alexandria, VA 22310-3251

Mailing address

8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694
Phone (301) 340-8339

Other practice location 1

8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694
Phone (301) 340-8339

Other practice location 2

3554 Chain Bridge Rd Ste 302
Fairfax, VA 22030-2709
Phone (703) 273-6635

Other practice location 3

209 Elden St Ste 105
Herndon, VA 20170-4815
Phone (703) 435-2574

Other practice location 4

101 W Broad St Ste 500
Falls Church, VA 22046-4200
Phone (703) 971-8011

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.kusic.p1@direct.cwcare.nextgenshare.com Direct

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
I20050110001039 DC Practitioner - Obstetrics/Gynecology 3779531314 Reassigns benefits to 2 organizations
I20150617001950 VA Practitioner - Obstetrics/Gynecology 3779531314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Pittsburgh School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Womens Care LLCGroup PAC ID 4880582741, 281 clinicians

Practice addresses (Care Compare)

6355 Walker LN
Suite 508
Alexandria, VA 22310-3251
Phone (703) 971-7633

Merit-based Incentive Payment System (MIPS)

Final score
43.1 of 100Reported as group
Quality
7.9
Improvement activities
40
Cost
79.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101232455VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Mar 22, 2015 Accepting new patients
Inova Health Care Services Obstetrics & Gynecology Current Accepting new patients
Inova Health Care Services CurrentSince Mar 22, 2015 Accepting new patients
Capital Women'S Care, L.L.C. Obstetrics & Gynecology CurrentSince Apr 1, 2007 Accepting new patients

Locations

11850 W Market Pl
Ste P
Fulton, MD 20759

8110 Maple Lawn Blvd
Ste 235
Fulton, MD 20759

9711 Medical Center Dr
Ste 109
Rockville, MD 20850
Phone (301) 762-5501

6355 Walker Ln
Ste 508
Alexandria, VA 22310
Phone (703) 971-7633

3554 Chain Bridge Rd
Ste 302
Fairfax, VA 22030
Phone (703) 273-6635

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

101 W Broad St
Ste 500
Falls Church, VA 22046
Phone (571) 971-8011

209 Elden St
Ste 105
Herndon, VA 20170
Phone (703) 435-2574

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

Interoperability endpoints

  • Direct secure messaging: michael.kusic.p1@direct.cwcare.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1154392900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 MAPLE LAWN BLVD STE 235",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592694",
            "telephone_number": "301-340-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 WALKER LN STE 508",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103251",
            "telephone_number": "703-971-7633",
            "fax_number": "703-971-0997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8110 Maple Lawn Blvd Ste 235",
            "address_purpose": "LOCATION",
            "city": "Fulton",
            "state": "MD",
            "postal_code": "207592694",
            "country_code": "US",
            "telephone_number": "301-340-8339",
            "fax_number": "301-340-9027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3554 Chain Bridge Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220302709",
            "country_code": "US",
            "telephone_number": "703-273-6635",
            "fax_number": "703-273-5717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 Elden St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Herndon",
            "state": "VA",
            "postal_code": "201704815",
            "country_code": "US",
            "telephone_number": "703-435-2574",
            "fax_number": "703-435-4199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W Broad St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220464200",
            "country_code": "US",
            "telephone_number": "703-971-8011",
            "fax_number": "571-489-8506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUSIC",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101232455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.kusic.p1@direct.cwcare.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6355 Walker Ln",
            "address_2": "SUITE 508",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223103245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.