Individual provider Active NPI

Leon Kao, MD

  • Allergy Physician
  • Germantown, MD
National Provider Identifier
1265639728
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
D0074337 Issued in MD
Practice address
19851 Observation Dr Ste 375
Germantown, MD 20876-4151
Phone
(301) 972-3709
Fax
(301) 515-3612
NPI assigned
Jun 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X D0074337 MD Primary

Addresses

Primary practice location

19851 Observation Dr Ste 375
Germantown, MD 20876-4151

Mailing address

19851 Observation Dr Ste 375
Germantown, MD 20876-4151
Phone (301) 972-3709

Other identifiers 11

IdentifierTypeStateIssuer
97730501OtherMDBCBS OF MARYLAND
1049243OtherVASOUTHERN HEALTH/COVENTRY
5753777OtherMDCIGNA
8739985OtherMDAETNA HMO
227674YDBHOtherMDMEDICARE
P00735855OtherVARAILROAD MEDICARE
3090008OtherMDMDIPA/OPTIMUM CHOICE
9117376OtherMDAETNA PPO
C149-0015OtherMDCAREFIRST BLUE CHOICE
1265639728MedicaidVA
302011OtherVAANTHEM

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
I20130524000283 DC Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 6709939358 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0074337MDMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Oct 30, 2016 Accepting new patients
Family Healthcare, P.C. CurrentSince Apr 16, 2013 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 30, 2016 Accepting new patients
Commonwealth Hosp SVCS Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

20528 Boland Farm Rd
Ste 109
Germantown, MD 20876
Phone (301) 515-3333

19851 Observation Dr
Ste 375
Germantown, MD 20876
Phone (301) 972-3709

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

9420 Key West Ave
Ste 410
Rockville, MD 20850
Phone (301) 947-6816

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

Interoperability endpoints

  • Direct secure messaging: leon.kao.1@8042.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1265639728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19851 OBSERVATION DR STE 375",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764151",
            "telephone_number": "301-972-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19851 OBSERVATION DR STE 375",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764151",
            "telephone_number": "301-972-3709",
            "fax_number": "301-515-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAO",
        "first_name": "LEON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MD",
            "license": "D0074337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MARYLAND",
            "identifier": "97730501",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH/COVENTRY",
            "identifier": "1049243",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5753777",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "8739985",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "227674YDBH",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00735855",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA/OPTIMUM CHOICE",
            "identifier": "3090008",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "9117376",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CHOICE",
            "identifier": "C149-0015",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265639728",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "302011",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.