Ratnavali Kolla, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0061502 Issued in MD

Practice address

16003 Comprint Cir
Gaithersburg, MD 20877-1318

Phone

(301) 869-2358

Fax

(301) 593-1061

NPI assigned

Oct 2, 2006

Last updated

Jun 20, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Neurology

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Healthcare Shady Grove Medical Center Hospital, Rockville, MD, CCN 210057
• Adventist Healthcare Rehabilitation at Rockville Inpatient rehabilitation facility, Rockville, MD, CCN 213029

Merit-based Incentive Payment System (MIPS)

Final score

24.34 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

81.15

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DJFCCA
• FHIR API: https://fhir4.healow.com/fhir/r4/DJFCCA/Endpoint/DJFCCA

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.

• Capital Neuro Care PA

  • Neurological Surgery Physician
  • Gaithersburg, MD
  • NPI 1366626657

  DC, Single Specialty

  Medicare reassignment NPD Authorized official
• Suburban/NRH Medical Rehabilitation Inc

  dba NRH Rehabilitation Network at Bethesda

  • Rehabilitation Clinic/Center
  • Bethesda, MD
  • NPI 1457354748
  Care Compare group
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• The Neurology Clinic of Washington

  • Specialist
  • Olney, MD
  • NPI 1013073964
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Healthcare, Inc.

  dba Adventist HealthCare Shady Grove Medical Center

  • General Acute Care Hospital
  • Rockville, MD
  • NPI 1568468221
  Care Compare affiliation
• Adventist Rehabilitation Hospital of Maryland Inc

  dba Adventist HealthCare Rehabilitation

  • Rehabilitation Hospital
  • Rockville, MD
  • NPI 1043216773

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1174617625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16003 COMPRINT CIRCLE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771318",
            "telephone_number": "301-869-2358",
            "fax_number": "301-593-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16003 COMPRINT CIR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771318",
            "telephone_number": "301-869-2358",
            "fax_number": "301-593-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLA",
        "first_name": "RATNAVALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0061502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039326600",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413840600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Koch, MA CCC-SLP
• Alan Otto Kogan, M.D.
• Erykah Mae Kolb
• Mary Joy Kolb, PH.D.
• Natalie Koldaro
• Emily Kolyabina, LCSW-C
• Jennifer Koo
• Louis E Kopolow, M.D.
• Julliet Koroma
• Edward James Kosenski, D.C.

• Specialist in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.