Active NPI
Gargi Suresh Kakani, MBBS, MPH
- Pediatrics Physician
- Washington, DC
National Provider Identifier
1215669312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MTL600001628
- Practice address
- 4200 Wisconsin Ave NW Ste 4
Washington, DC 20016-2143 - Phone
- (202) 243-3400
- Fax
- (202) 243-3234
- NPI assigned
- Jun 28, 2022
- 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 | MTL600001628 | DC | Primary |
Addresses
Primary practice location
4200 Wisconsin Ave NW Ste 4
Washington, DC 20016-2143
Mailing address
4200 Wisconsin Ave NW Ste 4
Washington, DC 20016-2143
Phone (202) 243-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MTL600001628 | DC | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1215669312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 WISCONSIN AVE NW STE 4",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200162143",
"telephone_number": "202-243-3400",
"fax_number": "202-243-3234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 WISCONSIN AVE NW STE 4",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200162143",
"telephone_number": "202-243-3400",
"fax_number": "202-243-3234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAKANI",
"first_name": "GARGI",
"middle_name": "SURESH",
"credential": "MBBS, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-28",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DC",
"license": "MTL600001628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.