Individual provider Active NPI

Nelson Gustavo Neder Kalil, M.D.

  • Hematology & Oncology Physician
  • Rockville, MD
National Provider Identifier
1427074707
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
D0051616 Issued in MD
Practice address
6000 Executive Blvd Ste 620
Rockville, MD 20852-3876
Phone
(240) 467-5888
Fax
(301) 348-8983
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X D0051616 MD Primary

Addresses

Primary practice location

6000 Executive Blvd Ste 620
Rockville, MD 20852-3876

Mailing address

6000 Executive Blvd Ste 620
Rockville, MD 20852-3876
Phone (240) 467-5888

Other identifiers 1

IdentifierTypeStateIssuer
694501500MedicaidMD

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
I20040507001083 DC Practitioner - Hematology/OncologyPractitioner - Internal Medicine 2264421023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6000 Executive Blvd
Suite 620
Rockville, MD 20852-3803

6000 Executive Blvd
Suite 620
Rockville, MD 20852-3876
Phone (240) 467-5888

Hospital & facility affiliations

  • Suburban Hospital Hospital, Bethesda, MD, CCN 210022

Merit-based Incentive Payment System (MIPS)

Final score
91.38 of 100Reported as individual
Quality
78.68
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0051616MDMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nelson Gustavo Neder Kalil, M.D. Hematology & Oncology CurrentSince Jan 1, 2006 Accepting new patients
Community Hematology Oncology Practitioners PC Hematology & Oncology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5454 Wisconsin Ave
Ste 1300
Chevy Chase, MD 20815
Phone (301) 657-4588

6000 Executive Blvd
Ste 620
Rockville, MD 20852
Phone (240) 467-5888

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.

Hospital & facility affiliations 2

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1427074707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 EXECUTIVE BLVD STE 620",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523876",
            "telephone_number": "240-467-5888",
            "fax_number": "301-348-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 EXECUTIVE BLVD STE 620",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523876",
            "telephone_number": "240-467-5888",
            "fax_number": "301-348-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALIL",
        "first_name": "NELSON",
        "middle_name": "GUSTAVO NEDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MD",
            "license": "D0051616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "694501500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.