Individual provider Active NPI

Diego Ignacio Kuperschmit, M.D.

  • Gastroenterology Physician
  • Arlington, VA
National Provider Identifier
1457450280
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
227090 Issued in NY
Practice address
1715 N George Mason Dr
Suite 204
Arlington, VA 22205-3609
Phone
(703) 522-0751
Fax
(703) 528-4209
NPI assigned
Sep 21, 2006
Last updated
Jul 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 227090 NY
Gastroenterology Physician 207RG0100X 227090 NY Primary

Addresses

Primary practice location

1715 N George Mason Dr
Suite 204
Arlington, VA 22205-3609

Mailing address

4001 N Richmond St
Arlington, VA 22207-4809
Phone (703) 741-7683

Other identifiers 1

IdentifierTypeStateIssuer
0101241132OtherVASTATE LICENSE

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
I20071023000046 DC Practitioner - GastroenterologyPractitioner - Orthopedic SurgeryPractitioner - Internal Medicine 2264438241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine, Orthopedic Surgery
Education
Howard University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastroenterology Center of Northern Virginia LTDGroup PAC ID 0042256406, 5 clinicians

Practice addresses (Care Compare)

1715 N George Mason Dr
Suite 204
Arlington, VA 22205-3647
Phone (703) 522-7476

3299 Woodburn Rd
Suite 220
Annandale, VA 22003-7318
Phone (703) 560-6106

3301 Woodburn Rd
Suite 220
Annandale, VA 22003-7318

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy162
Upper gastrointestinal (GI) endoscopy for acid reflux150

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Center of Northern Virginia LTD Gastroenterology CurrentSince Jul 15, 2007 Accepting new patients
Bimc Faculty Practice Past Accepting new patients
Beth Israel Medical Center Internal Medicine Past Accepting new patients

Locations

3299 Woodburn Rd
Ste 220
Annandale, VA 22003
Phone (220) 270-3747

1715 N George Mason Dr
Ste 204
Arlington, VA 22205
Phone (703) 522-7476

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1457450280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 N RICHMOND ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222074809",
            "telephone_number": "703-741-7683",
            "fax_number": "703-528-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 N GEORGE MASON DR",
            "address_2": "SUITE 204",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053609",
            "telephone_number": "703-522-0751",
            "fax_number": "703-528-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPERSCHMIT",
        "first_name": "DIEGO",
        "middle_name": "IGNACIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "227090",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "227090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0101241132",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.