Individual provider Active NPI

Kalkidan Kassahun Ayalew, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1275306045
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2023100269 Issued in MD
Practice address
10400 Little Patuxent Pkwy
Columbia, MD 21044-3518
Phone
(571) 977-6870
NPI assigned
Nov 3, 2023
Last updated
May 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2023100269 MD Primary

Addresses

Primary practice location

10400 Little Patuxent Pkwy
Columbia, MD 21044-3518

Mailing address

5205 Aldershot Dr
Lanham, MD 20706-4155
Phone (240) 593-1017

Other practice location 1

1307 Vincent Pl
Mc Lean, VA 22101-3680
Phone (240) 593-1017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20250108000332 MD Practitioner - Nurse Practitioner 1052849882 Reassigns benefits to 1 organization
I20250108000480 DC Practitioner - Nurse Practitioner 1052849882 Reassigns benefits to 1 organization
I20250324002459 VA Practitioner - Nurse Practitioner 1052849882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Associates in Psychiatry PCGroup PAC ID 7113165739, 127 clinicians

Practice addresses (Care Compare)

10400 Little Patuxent Pkwy
Columbia, MD 21044-3518
Phone (571) 977-6870

11921 Rockville Pike
Suite 402
Rockville, MD 20852-2757
Phone (425) 658-2254

24560 Southpoint Dr
Suite 260
Aldie, VA 20105-3505
Phone (571) 248-7493

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023100269MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Associates in Psychiatry PC Psychiatric/Mental Health CurrentSince Nov 7, 2024 Accepting new patients
Columbia Associates in Psychiatry PC Psychiatric/Mental Health CurrentSince Nov 8, 2025 Accepting new patients

Locations

10400 Little Patuxent Pkwy
Columbia, MD 21044
Phone (410) 210-4098

11921 Rockville Pike
Ste 402
Rockville, MD 20852
Phone (301) 263-4595

500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808

24560 Southpoint Dr
Ste 260
Aldie, VA 20105
Phone (571) 248-7472

2501 N Glebe Rd
Ste 303
Arlington, VA 22207
Phone (703) 485-9519

2960 Sleepy Hollow Rd
Falls Church, VA 22044
Phone (703) 304-7764

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1275306045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 ALDERSHOT DR",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064155",
            "telephone_number": "240-593-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 LITTLE PATUXENT PKWY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443518",
            "telephone_number": "571-977-6870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1307 Vincent Pl",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221013680",
            "country_code": "US",
            "telephone_number": "240-593-1017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYALEW",
        "first_name": "KALKIDAN",
        "middle_name": "KASSAHUN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-03",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "2023100269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.