Individual provider Active NPI

Reshma Rao Kundapur, M.D.

  • Family Medicine Physician
  • Rockville, MD
National Provider Identifier
1164578563
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D65227 Issued in MD
Practice address
6000 Executive Blvd Ste 300
Rockville, MD 20852-3803
Phone
(301) 468-8999
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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 D65227 MD Primary

Addresses

Primary practice location

6000 Executive Blvd Ste 300
Rockville, MD 20852-3803

Mailing address

6000 Executive Blvd Ste 300
Rockville, MD 20852-3803
Phone (301) 468-8999

Other identifiers 2

IdentifierTypeStateIssuer
PENDINGMedicaidMD
0-617-754-7OtherECFMG

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
I20101213001127 DC Practitioner - Family PracticePractitioner - Emergency Medicine 2567555162 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians

Practice addresses (Care Compare)

4910 Massachusetts Ave NW
Suite 114 Grady DC Office
Washington, DC 20016-4384
Phone (202) 686-0813

Hospital & facility affiliations

  • Adventist Home Health Services, Inc. Home health agency, Silver Spring, MD, CCN 217032

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Care Center LLC CurrentSince Aug 3, 2024 Accepting new patients
Reshma Kundapur, LLC Family Medicine Current Accepting new patients
Privia Medical Group, LLC Family Medicine CurrentSince Aug 3, 2024 Accepting new patients
Privia Care Center LLC CurrentSince Aug 3, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 3, 2024 Accepting new patients
Joseph S. Fastow, M.D., P.a. Past Accepting new patients
Cedar Health Ventures, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Nova Physician Wellness Center PLLC Family Medicine Past Accepting new patients

Locations

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

10215 Fernwood Rd
Ste 301
Bethesda, MD 20817
Phone (301) 493-9409

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

3204 Tower Oaks Blvd
Ste 140
Rockville, MD 20852
Phone (301) 822-4585

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: reshma.kundapur.1@8042.direct.athenahealth.com

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 1

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1164578563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 EXECUTIVE BLVD STE 300",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523803",
            "telephone_number": "301-468-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 EXECUTIVE BLVD STE 300",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523803",
            "telephone_number": "301-468-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNDAPUR",
        "first_name": "RESHMA",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D65227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "0-617-754-7",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.