Individual provider Active NPI

Ahmed H Kafaji, M.D.

  • Specialist
  • Mechanicsville, MD
National Provider Identifier
1275573099
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0060886 Issued in MD
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

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050121000673 MD Practitioner - NeurologyPractitioner - Interventional Pain Management 9638136872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Interventional Pain Management
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 Hospital, Leonardtown, MD, CCN 210028
  • Medstar Southern Maryland Hospital Center Hospital, Clinton, MD, CCN 210062

Merit-based Incentive Payment System (MIPS)

Final score
23.77 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0060886MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Neurology and Spine Specialist CurrentSince Feb 24, 2006 Accepting new patients
Potomac Pain and Rehabilitation Associates, LLC PastSince Feb 5, 2001 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

  • FHIR API: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.