Active NPI
Ahmed H Kafaji, M.D.
- Specialist
- Mechanicsville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D0060886
- Practice address
- 28105 Three Notch Rd Ste 1C
Mechanicsville, MD 20659-3235 - Phone
- (301) 290-1510
- Fax
- (301) 290-1574
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D0060886 | MD | Primary |
| Internal Medicine Physician | 207R00000X | D0060886 | MD |
Addresses
Primary practice location
28105 Three Notch Rd Ste 1C
Mechanicsville, MD 20659-3235
Mailing address
28105 Three Notch Rd Ste 1C
Mechanicsville, MD 20659-3235
Phone (301) 290-1510
Other practice location 1
11340 Pembrooke Sq Ste 211
Waldorf, MD 20603-4808
Phone (301) 290-1510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
28105 Three Notch Rd
Suite 1C
Mechanicsville, MD 20659-3235
Phone (301) 290-1510
Hospital & facility affiliations
- Medstar Saint Mary'S Hospital
- Medstar Southern Maryland Hospital Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.77 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 79.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0060886 | MD | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesapeake Neurology and Spine | Specialist | Current | Accepting new patients |
| Potomac Pain and Rehabilitation Associates, LLC | Past | Accepting new patients |
Locations
28105 Three Notch Rd
#1C
Mechanicsville, MD 20659
Phone (301) 290-1510
28105 Three Notch Rd
Ste 1C
Mechanicsvlle, MD 20659
Phone (301) 290-1510
11340 Pembrooke Sq
Ste 211
Waldorf, MD 20603
Phone (240) 530-8188
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Specialist
- Mechanicsville, MD
- NPI 1194974360
-
- Physical Medicine & Rehabilitation Physician
- La Plata, MD
- NPI 1285850479
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clinton, MD
- NPI 1366790693
-
- General Acute Care Hospital
- Leonardtown, MD
- NPI 1780650473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1275573099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28105 THREE NOTCH RD STE 1C",
"city": "MECHANICSVILLE",
"state": "MD",
"postal_code": "206593235",
"telephone_number": "301-290-1510",
"fax_number": "301-290-1574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28105 THREE NOTCH RD STE 1C",
"city": "MECHANICSVILLE",
"state": "MD",
"postal_code": "206593235",
"telephone_number": "301-290-1510",
"fax_number": "301-290-1574"
}
],
"practiceLocations": [
{
"address_1": "11340 Pembrooke Sq Ste 211",
"address_purpose": "LOCATION",
"city": "Waldorf",
"state": "MD",
"postal_code": "206034808",
"country_code": "US",
"telephone_number": "301-290-1510",
"fax_number": "301-290-1574",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAFAJI",
"first_name": "AHMED",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "D0060886",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0060886",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.