Individual provider Active NPI

Kekula D Golijikaye

  • Non-emergency Medical Transport (VAN)
  • Washington, DC
National Provider Identifier
1356562003
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
1252 Issued in DC
Practice address
4620 4TH St NW
Washington, DC 20011-4704
Phone
(202) 350-7231
Fax
(301) 773-3478
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 1252 DC Primary

Addresses

Primary practice location

4620 4TH St NW
Washington, DC 20011-4704

Mailing address

4620 4TH St NW
Washington, DC 20011-4704
Phone (202) 350-7231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1252DCMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1356562003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 4TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200114704",
            "telephone_number": "202-350-7231",
            "fax_number": "301-773-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 4TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200114704",
            "telephone_number": "202-350-7231",
            "fax_number": "301-773-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLIJIKAYE",
        "first_name": "KEKULA",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "DC",
            "license": "1252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.