NPIMap

Individual provider Active NPI

Kryt Chattrabhuti, M.D.

  • Nephrology Physician
  • Annapolis, MD
National Provider Identifier
1346683935
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D0084792 Issued in MD
Practice address
116 Defense Hwy Ste 202
Annapolis, MD 21401-7045
Phone
(410) 224-0270
NPI assigned
Apr 12, 2013
Last updated
Aug 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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 D0084792 MD Primary
Student in an Organized Health Care Education/Training Program 390200000X NC

Addresses

Primary practice location

116 Defense Hwy Ste 202
Annapolis, MD 21401-7045

Mailing address

1211 John St
Charlottesville, VA 22903-2327

Other practice location 1

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20181113000033 MD Practitioner - NephrologyPractitioner - Internal Medicine 2567783400 Reassigns benefits to 1 organization
I20181116000935 DC Practitioner - NephrologyPractitioner - Internal Medicine 2567783400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Virginia School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Nephrology Associates LLPGroup PAC ID 8527951318, 31 clinicians

Practice addresses (Care Compare)

116 Defense Hwy
Suite 202
Annapolis, MD 21401-7045
Phone (410) 224-0270

4141 A Duke St
Alexandria, VA 22304-2415
Phone (703) 461-3556

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0084792MDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Nephrology Associates, L.L.P. Nephrology CurrentSince Sep 22, 2018 Accepting new patients
Mwrdc of Annapolis Nephrology Past Accepting new patients

Locations

116 Defense Hwy
Ste 202
Annapolis, MD 21401
Phone (410) 224-0270

4915 Auburn Ave
Ste 200
Bethesda, MD 20814
Phone (301) 907-3939

4141A Duke St
Alexandria, VA 22304
Phone (703) 461-3556

Interoperability endpoints

  • Direct secure messaging: kchattrabhuti17110@direct.acumenmd.com

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

Hospital & facility affiliations 8

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": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1346683935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 JOHN ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229032327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 DEFENSE HWY STE 202",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017045",
            "telephone_number": "410-224-0270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271570001",
            "country_code": "US",
            "telephone_number": "336-716-2011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHATTRABHUTI",
        "first_name": "KRYT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-12",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0084792",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.