Individual provider Active NPI

Kala Shahi, NP

  • Family Nurse Practitioner
  • Potomac, MD
National Provider Identifier
1427106277
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R114087 Issued in MD
Practice address
9800 Falls Rd
Ste 3
Potomac, MD 20854-3944
Phone
(301) 765-9255
Fax
(301) 299-3838
NPI assigned
Jan 8, 2007
Last updated
Jan 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R114087 MD Primary
Family Nurse Practitioner 363LF0000X RN57972 DC
Family Nurse Practitioner 363LF0000X LG0000392 DE

Addresses

Primary practice location

9800 Falls Rd
Ste 3
Potomac, MD 20854-3944

Mailing address

PO Box 157
Ashton, MD 20861-0157
Phone (301) 570-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081013000088 MD Practitioner - Nurse Practitioner 2163590514 Reassigns benefits to 1 organization
I20090223000224 DC Practitioner - Nurse Practitioner 2163590514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9800 Falls Rd
Suite 3
Potomac, MD 20854-3944
Phone (301) 765-9255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN57972DCMDFamily Nurse Practitioner
LG0000392DEMDFamily Nurse Practitioner
R114087MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CRH MD Management LLC CurrentSince Aug 28, 2024 Accepting new patients
CRH MD Management, LLC CurrentSince Aug 28, 2024 Accepting new patients
CRH MD Management LLC CurrentSince Aug 28, 2024 Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

10845 Town Center Blvd
Ste 108
Dunkirk, MD 20754
Phone (410) 286-7911

14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684

11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094

750 Rockville Pike
Rockville, MD 20852
Phone (301) 424-0658

14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1427106277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "ASHTON",
            "state": "MD",
            "postal_code": "208610157",
            "telephone_number": "301-570-9700",
            "fax_number": "301-260-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 FALLS RD",
            "address_2": "STE 3",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543944",
            "telephone_number": "301-765-9255",
            "fax_number": "301-299-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHI",
        "first_name": "KALA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R114087",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN57972",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG0000392",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

Verify at the official NPI Registry.