Individual provider Active NPI

Rebecca June Kamil, MD

  • Otolaryngology Physician
  • Rockville, MD
National Provider Identifier
1225445968
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
D0088985 Issued in MD
Practice address
9420 Key West Ave Ste 310
Rockville, MD 20850-6212
Phone
(301) 315-5888
Fax
(301) 315-5866
NPI assigned
Jul 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 00000000 MD
Student in an Organized Health Care Education/Training Program 390200000X
Otolaryngology Physician 207Y00000X D0088985 MD Primary

Addresses

Primary practice location

9420 Key West Ave Ste 310
Rockville, MD 20850-6212

Mailing address

9420 Key West Ave Ste 310
Rockville, MD 20850-6212
Phone (301) 315-5888

Other practice location 1

601 N Caroline St Fl 6
Baltimore, MD 21287-0006
Phone (410) 955-1686

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210113001969 DC Practitioner - Otolaryngology 8123331147 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Albert Einstein College of Medicine of Yeshiva University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kamil Ear, Nose, and Throat, LLCGroup PAC ID 4981065828, 2 clinicians

Practice addresses (Care Compare)

11119 Rockville Pike
Suite 320
Rockville, MD 20852-3143
Phone (301) 307-5050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00000000MDMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kamil Ear, Nose, and Throat, LLC Current Accepting new patients
Kamil Ear, Nose, and Throat, LLC Otolaryngology CurrentSince Jun 10, 2023 Accepting new patients
Ear, Nose & Throat Specialists of Shady Grove, P.C. CurrentSince Jan 1, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

11119 Rockville Pike
Ste 320
Rockville, MD 20852
Phone (240) 669-6598

Organizations & group practices 4

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": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1225445968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 KEY WEST AVE STE 310",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506212",
            "telephone_number": "301-315-5888",
            "fax_number": "301-315-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 KEY WEST AVE STE 310",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506212",
            "telephone_number": "301-315-5888",
            "fax_number": "301-315-5866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 N Caroline St Fl 6",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870006",
            "country_code": "US",
            "telephone_number": "410-955-1686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMIL",
        "first_name": "REBECCA",
        "middle_name": "JUNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "00000000",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D0088985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.