Individual provider Active NPI

Masiray Bintia Kamara, MD

  • Pediatrics Physician
  • Takoma Park, MD
National Provider Identifier
1376801498
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0099279 Issued in MD
Practice address
7676 New Hampshire Ave
Takoma Park, MD 20912-7512
Phone
(301) 431-2972
NPI assigned
Apr 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA10425900 NJ
Pediatrics Physician 208000000X D0099279 MD Primary

Addresses

Primary practice location

7676 New Hampshire Ave
Takoma Park, MD 20912-7512

Mailing address

6934 Andersons Way Apt 202
Laurel, MD 20707-6949

Other practice location 1

190 S Harrison St
East Orange, NJ 07018-1502
Phone (973) 674-8373

Other practice location 2

9601 Blackwell Rd Ste 300
Rockville, MD 20850-3472
Phone (301) 563-9333

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240814003680 DC Practitioner - Pediatric Medicine 3577853167 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0099279MDMDPediatrics Physician
25MA10425900NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Clinic, Inc. Pediatrics CurrentSince Sep 3, 2024 Accepting new patients
Scott D Wissman MD MPH PC Pediatrics CurrentSince Jun 1, 2024 Accepting new patients
Community Clinic, Inc CurrentSince Sep 3, 2024 Accepting new patients

Locations

220 Girard St
Ste 100
Gaithersburg, MD 20877
Phone (301) 216-0880

7474 Greenway Center Dr
Ste 300
Greenbelt, MD 20770
Phone (240) 624-2278

2 Taft Ct
Ste 207
Rockville, MD 20850
Phone (240) 753-7895

9601 Blackwell Rd
Ste 300
Rockville, MD 20850
Phone (301) 563-9333

8665 Georgia Ave
Silver Spring, MD 20910
Phone (301) 340-7525

8630 Fenton St
Ste 1204
Silver Spring, MD 20910
Phone (240) 499-2636

8630 Fenton St
Ste 1200
Silver Spring, MD 20910
Phone (301) 585-1250

7676 New Hampshire Ave
Ste 220A
Takoma Park, MD 20912
Phone (301) 431-2972

Organizations & group practices 3

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": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1376801498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6934 ANDERSONS WAY APT 202",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207076949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7676 NEW HAMPSHIRE AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209127512",
            "telephone_number": "301-431-2972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 S Harrison St",
            "address_purpose": "LOCATION",
            "city": "East Orange",
            "state": "NJ",
            "postal_code": "070181502",
            "country_code": "US",
            "telephone_number": "973-674-8373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9601 Blackwell Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208503472",
            "country_code": "US",
            "telephone_number": "301-563-9333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMARA",
        "first_name": "MASIRAY",
        "middle_name": "BINTIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA10425900",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0099279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

Verify at the official NPI Registry.