Active NPI
Heidi H Kong, M.D.
- Dermatology Physician
- Bethesda, MD
National Provider Identifier
1346380623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- D0062698
- Practice address
- 10 Center Dr
Building 10, Room 12N238
Bethesda, MD 20892-0001 - Phone
- (301) 402-7452
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | D0062698 | MD | Primary |
Addresses
Primary practice location
10 Center Dr
Building 10, Room 12N238
Bethesda, MD 20892-0001
Mailing address
10 Center Dr
MSC 1908
Bethesda, MD 20892
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245801600000",
"number": "1346380623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CENTER DR",
"address_2": "MSC 1908",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CENTER DR",
"address_2": "BUILDING 10, ROOM 12N238",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208920001",
"telephone_number": "301-402-7452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONG",
"first_name": "HEIDI",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2009-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MD",
"license": "D0062698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.