Individual provider Active NPI

Victor Alexander Kumpel, P.A.

  • Physician Assistant
  • Laurel, MD
National Provider Identifier
1467589788
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0002140 Issued in MD
Practice address
575 Main St
Suite 351
Laurel, MD 20707-4343
Phone
(301) 498-5990
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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 C0002140 MD Primary

Addresses

Primary practice location

575 Main St
Suite 351
Laurel, MD 20707-4343

Mailing address

14006 Fernie Field CT
Laurel, MD 20707-6899
Phone (301) 210-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20070611000465 DC Practitioner - Physician Assistant 0244338556 Reassigns benefits to 1 organization
I20210821000345 MD Practitioner - Physician Assistant 0244338556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

4451 Parliament PL
Suite G
Lanham, MD 20706-1873
Phone (301) 459-9113

733 D Frederik Ave
Gaithersburg, MD 20877-4118
Phone (301) 869-0700

9803 Rhode Island Ave
College Park, MD 20740-1423
Phone (301) 441-3355

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0002140MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA CurrentSince Aug 9, 2021 Accepting new patients
American Current Care PA CurrentSince Aug 9, 2021 Accepting new patients
American Current Care P.a. CurrentSince Aug 9, 2021 Accepting new patients

Locations

1419 Knecht Ave
Halethorpe, MD 21227
Phone (410) 247-9595

4451 Parliament Pl
Ste G
Lanham, MD 20706
Phone (301) 459-9113

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1467589788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14006 FERNIE FIELD CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207076899",
            "telephone_number": "301-210-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 MAIN ST",
            "address_2": "SUITE 351",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074343",
            "telephone_number": "301-498-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMPEL",
        "first_name": "VICTOR",
        "middle_name": "ALEXANDER",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.