Individual provider Active NPI

Jeffrey M Kufel, PA

  • Physician Assistant
  • Silver Spring, MD
National Provider Identifier
1437469723
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0004219 Issued in MD
Practice address
8455 Colesville Rd
Suite 200
Silver Spring, MD 20910-3315
Phone
(301) 588-0505
Fax
(301) 588-0506
NPI assigned
Oct 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0004219 MD Primary

Addresses

Primary practice location

8455 Colesville Rd
Suite 200
Silver Spring, MD 20910-3315

Mailing address

6509 Early Lily Row
Columbia, MD 21044-6057
Phone (443) 928-9420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150709001167 MD Practitioner - Physician Assistant 7315259017 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Pain Management, LLC CurrentSince May 13, 2015 Accepting new patients

Locations

1150 Professional Ct
Ste P
Hagerstown, MD 21740
Phone (301) 665-9696

8455 Colesville Rd
Ste 200
Silver Spring, MD 20910
Phone (301) 528-2810

Organizations & group practices 2

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": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1437469723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 EARLY LILY ROW",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446057",
            "telephone_number": "443-928-9420",
            "fax_number": "410-701-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8455 COLESVILLE RD",
            "address_2": "SUITE 200",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103315",
            "telephone_number": "301-588-0505",
            "fax_number": "301-588-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUFEL",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-20",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.