Individual provider Active NPI

Katherine Anne Tulenko, M.D.

  • Pediatrics Physician
  • Alexandria, VA
National Provider Identifier
1174690747
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101240489 Issued in VA
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

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111222000529 MD Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 2961549332 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101240489VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baltimore Washington Emergency Physicians, Inc. CurrentSince Jun 16, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.