Individual provider Active NPI

Kaitlin Grainger Vucelik, PA-C

  • Surgical Physician Assistant
  • Washington, DC
National Provider Identifier
1336690650
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA031310 Issued in DC
Practice address
5255 Loughboro Rd NW BLDG 4TH
Washington, DC 20016-2633
Phone
(202) 370-6565
Fax
(202) 537-4248
NPI assigned
Oct 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110-005549 VA
Surgical Physician Assistant 363AS0400X PA031310 DC Primary

Addresses

Primary practice location

5255 Loughboro Rd NW BLDG 4TH
Washington, DC 20016-2633

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-6423

Other practice location 1

900 23rd St NW
Washington, DC 20037-2342
Phone (202) 715-4000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170303000718 DC Practitioner - Physician Assistant 0446534861 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johns Hopkins UniversityGroup PAC ID 4981745098, 711 clinicians

Practice addresses (Care Compare)

5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone (202) 660-6500

Hospital & facility affiliations

  • Sibley Memorial Hospital Hospital, Washington, DC, CCN 090005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110-005549VAMDPhysician Assistant
PA031310DCMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
District Hospital Partners LP CurrentSince Mar 31, 2019 Accepting new patients
Johns Hopkins University CurrentSince May 1, 2022 Accepting new patients
Johns Hopkins University CurrentSince May 1, 2022 Accepting new patients
District Hospital Partners L P CurrentSince Mar 31, 2019 Accepting new patients

Locations

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

5255 Loughboro Rd NW
Bldg 4TH
Washington, DC 20016
Phone (202) 243-5295

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

Interoperability endpoints

  • Direct secure messaging: kgrainger959292@direct.hopkinsmedicine.org

Organizations & group practices 5

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 1

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": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1336690650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 LOUGHBORO RD NW BLDG 4TH",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162633",
            "telephone_number": "202-370-6565",
            "fax_number": "202-537-4248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 23rd St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200372342",
            "country_code": "US",
            "telephone_number": "202-715-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VUCELIK",
        "first_name": "KAITLIN",
        "middle_name": "GRAINGER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-21",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-005549",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "DC",
            "license": "PA031310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.