Active NPI
Katherine Anne Tulenko, M.D.
- Pediatrics Physician
- Alexandria, VA
National Provider Identifier
1174690747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101240489
- Practice address
- 6400 15TH St
Alexandria, VA 22307-1409 - Phone
- (202) 460-9919
- Fax
- (703) 347-6276
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101240489 | VA | Primary |
Addresses
Primary practice location
6400 15TH St
Alexandria, VA 22307-1409
Mailing address
6400 15TH St
Alexandria, VA 22307-1409
Phone (202) 460-9919
Other practice location 1
2333 Ontario Rd NW
Washington, DC 20009-2627
Phone (202) 483-8196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101240489 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baltimore Washington Emergency Physicians, Inc. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Capital Area Pediatrics, Inc | Pediatrics | Past | Accepting new patients |
Locations
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
Interoperability endpoints
- katherine.tulenko.1@16203.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Glen Burnie, MD
- NPI 1215983853
-
- Pediatrics Physician
- Oakton, VA
- NPI 1700975349
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1174690747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 15TH ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223071409",
"telephone_number": "202-460-9919",
"fax_number": "703-347-6276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 15TH ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223071409",
"telephone_number": "202-460-9919",
"fax_number": "703-347-6276"
}
],
"practiceLocations": [
{
"address_1": "2333 Ontario Rd NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200092627",
"country_code": "US",
"telephone_number": "202-483-8196",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TULENKO",
"first_name": "KATHERINE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101240489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.