Active NPI
Amanda Kilker Ombrello, M.D.
- Rheumatology Physician
- Bethesda, MD
National Provider Identifier
1356545719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 2009034592
- Practice address
- 10 Center Dr
4N/208 MSC 1375
Bethesda, MD 20892-0001 - Phone
- (301) 827-4258
- Fax
- (301) 480-4259
- NPI assigned
- Jun 12, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 2009034592 | MO | Primary |
| Pediatric Rheumatology Physician | 2080P0216X | 2009034592 | MO |
Addresses
Primary practice location
10 Center Dr
4N/208 MSC 1375
Bethesda, MD 20892-0001
Mailing address
10 Center Dr
4N/208 MSC 1375
Bethesda, MD 20892-0001
Phone (301) 827-4258
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009034592 | MO | MD | Pediatric Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Rheumatology | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464825600000",
"number": "1356545719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CENTER DR",
"address_2": "4N/208 MSC 1375",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208920001",
"telephone_number": "301-827-4258",
"fax_number": "301-480-4259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CENTER DR",
"address_2": "4N/208 MSC 1375",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208920001",
"telephone_number": "301-827-4258",
"fax_number": "301-480-4259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMBRELLO",
"first_name": "AMANDA",
"middle_name": "KILKER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-12",
"last_updated": "2016-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MO",
"license": "2009034592",
"primary": true
},
{
"code": "2080P0216X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Rheumatology",
"state": "MO",
"license": "2009034592",
"primary": false
}
],
"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 2, 2016; 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.