Individual provider Active NPI

Kelvin B Hao, M.D.

  • Internal Medicine Physician
  • Chevy Chase, MD
National Provider Identifier
1467456459
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0050343 Issued in MD
Practice address
5454 Wisconsin Ave Ste 1410
Chevy Chase, MD 20815-6905
Phone
(301) 656-1262
Fax
(301) 656-3238
NPI assigned
Jun 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0050343 MD Primary

Addresses

Primary practice location

5454 Wisconsin Ave Ste 1410
Chevy Chase, MD 20815-6905

Mailing address

14999 Health Center Dr
Ste 201
Bowie, MD 20716-1087
Phone (301) 262-8188

Other identifiers 1

IdentifierTypeStateIssuer
982841900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 5, 2013 through Feb 5, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0050343MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David Drew Clinic Inc. Internal Medicine PastSince Sep 23, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1467456459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14999 HEALTH CENTER DR",
            "address_2": "STE 201",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161087",
            "telephone_number": "301-262-8188",
            "fax_number": "301-464-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE STE 1410",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156905",
            "telephone_number": "301-656-1262",
            "fax_number": "301-656-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAO",
        "first_name": "KELVIN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0050343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "982841900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.