NPIMap

Individual provider Active NPI

Khosrow Davachi, MD

  • Nephrology Physician
  • Clinton, MD
National Provider Identifier
1295812899
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD8172 Issued in DC
Practice address
7700 Old Branch Ave Ste D203
Clinton, MD 20735-1611
Phone
(301) 868-7121
Fax
(301) 868-7968
NPI assigned
Nov 1, 2006
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X D0025640 MD
Nephrology Physician 207RN0300X MD8172 DC Primary

Addresses

Primary practice location

7700 Old Branch Ave Ste D203
Clinton, MD 20735-1611

Mailing address

7700 Old Branch Ave
Ste D203
Clinton, MD 20735-1611
Phone (301) 868-7121

Other practice location 1

6196 Oxon Hill Rd Ste 290
Oxon Hill, MD 20745-3141
Phone (301) 868-7121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100331000626 DC Practitioner - Internal MedicinePractitioner - Nephrology 8729005426 Reassigns benefits to 1 organization
I20170726000972 MD Practitioner - Internal MedicinePractitioner - Nephrology 8729005426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

45 Saint Patricks Dr
Waldorf, MD 20603-4507
Phone (301) 868-7121

6196 Oxon Hill Rd
Suite 290
Oxon Hill, MD 20745-3141
Phone (301) 868-7121

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.16 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
70.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0025640MDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Khosrow Davachi MD PC Nephrology CurrentSince Jul 1, 1979 Accepting new patients
Khosrow Davachi MD PC Nephrology Current Accepting new patients
Inspire Rehabilitation and Health Center L.L.C. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1328 Southern Ave SE
Ste 310
Washington, DC 20032
Phone (202) 562-0400

7700 Old Branch Ave
Ste D203
Clinton, MD 20735
Phone (301) 868-1220

7700 Old Branch Ave
Ste D204
Clinton, MD 20735
Phone (301) 868-7121

6196 Oxon Hill Rd
Ste 290
Oxon Hill, MD 20745
Phone (240) 493-7847

45 Saint Patricks Dr
Waldorf, MD 20603
Phone (301) 868-7121

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: kdavachi@kdmp-md1.direct.office.nextgen.com

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

Hospital & facility affiliations 10

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1295812899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 OLD BRANCH AVE",
            "address_2": "STE D203",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351611",
            "telephone_number": "301-868-7121",
            "fax_number": "301-868-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 OLD BRANCH AVE STE D203",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351611",
            "telephone_number": "301-868-7121",
            "fax_number": "301-868-7968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6196 Oxon Hill Rd Ste 290",
            "address_purpose": "LOCATION",
            "city": "Oxon Hill",
            "state": "MD",
            "postal_code": "207453141",
            "country_code": "US",
            "telephone_number": "301-868-7121",
            "fax_number": "301-868-7968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVACHI",
        "first_name": "KHOSROW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0025640",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "DC",
            "license": "MD8172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.