Individual provider Active NPI

Mandip Kaur

  • Nurse Practitioner
  • Gaithersburg, MD
National Provider Identifier
1194529792
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2024101088 Issued in MD
Practice address
1056 Travis LN
Gaithersburg, MD 20879-3219
Phone
(786) 778-2477
NPI assigned
Apr 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R221663 MD
Nurse Practitioner 363L00000X 2024101088 MD Primary

Addresses

Primary practice location

1056 Travis LN
Gaithersburg, MD 20879-3219

Mailing address

1056 Travis LN
Gaithersburg, MD 20879-3219
Phone (786) 778-2477

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250520001252 DC Practitioner - Nurse Practitioner 1658899984 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Xcel Primary Care PLLCGroup PAC ID 7719358472, 3 clinicians

Practice addresses (Care Compare)

3517 S Jefferson St
Falls Church, VA 22041-3106
Phone (703) 981-3492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R221663MDMDRegistered Nurse
2024101088MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Xcel Urgent Care LLC CurrentSince May 9, 2025 Accepting new patients
Xcel Primary Care PLLC CurrentSince May 9, 2025 Accepting new patients

Locations

3517 S Jefferson St
Falls Church, VA 22041
Phone (703) 254-9158

Organizations & group practices 2

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": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1194529792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 TRAVIS LN",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793219",
            "telephone_number": "786-778-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 TRAVIS LN",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793219",
            "telephone_number": "786-778-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "MANDIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R221663",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "2024101088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.