Individual provider Active NPI

Kia C Pratt McCoy, MD

  • Hospitalist Physician
  • Mount Holly, NJ
National Provider Identifier
1508892480
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
D86797 Issued in MD
Practice address
175 Madison Ave
Mount Holly, NJ 08060-2038
Phone
(609) 914-6180
Fax
(609) 914-6182
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101246839 VA
Internal Medicine Physician 207R00000X 25MA08974600 NJ
Hospitalist Physician 208M00000X D86797 MD Primary

Addresses

Primary practice location

175 Madison Ave
Mount Holly, NJ 08060-2038

Mailing address

401 Route 73 N
40 Lake Center Dr Suite 201a
Marlton, NJ 08053-3425
Phone (856) 355-0340

Other identifiers 1

IdentifierTypeStateIssuer
2710668007MedicaidFL

Other names 1

  • Dr. Kia C Pratt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, MD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100330000948 VA Practitioner - Internal Medicine 6709848062 Reassigns benefits to 2 organizations
I20180625000464 DC Practitioner - Internal MedicinePractitioner - Hospitalist 6709848062 Reassigns benefits to 4 organizations
I20200330000374 MD Practitioner - HospitalistPractitioner - Internal Medicine 6709848062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Howard University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Washington Healthcare Providers LLCGroup PAC ID 1456629369, 264 clinicians
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
M Medical Group, Inc.Group PAC ID 7719278597, 104 clinicians

Practice addresses (Care Compare)

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-4350

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

223 7TH St NE
Bridgepoint Capitol Hill Hospital
Washington, DC 20002-7045
Phone (202) 546-5700

3007 Tilden St NW
Suite 5N
Washington, DC 20008-3030

7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 868-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services Internal Medicine CurrentSince May 1, 2018 Accepting new patients
Fair Oaks Hospitalist Physicians, PLLC Hospitalist CurrentSince Nov 1, 2019 Accepting new patients
Inova Health Care Services CurrentSince May 1, 2018 Accepting new patients
M Medical Group, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jun 1, 2020 Accepting new patients
Mdics at Umroi, LLC Hospitalist CurrentSince Feb 24, 2020 Accepting new patients
M Medical Group, Inc. Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Inova Health Care Services CurrentSince May 1, 2018 Accepting new patients
Virtua Surgical Group, P.a Past Accepting new patients
East Florida Hospitalists LLC Hospitalist Past Accepting new patients
Public Health Trust of Miami Dade County Florida Past Accepting new patients
Medstar Southern Maryland Hospital Center Inc Past Accepting new patients
Virtua Medical Group, PA Internal Medicine Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

4601 Martin Luther King Jr Ave SW
Washington, DC 20032
Phone (202) 373-5840

223 7th St NE
Washington, DC 20002
Phone (202) 543-4800

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

2200 Kernan Dr
Woodlawn, MD 21207
Phone (410) 448-2500

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

44055 Riverside Pkwy
Ste 226
Leesburg, VA 20176
Phone (202) 321-8162

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Interoperability endpoints

  • Direct secure messaging: kprattmccoy33338@marywashingtonhealthcare.direct-ci.com
  • Direct secure messaging: kprattmccoy589562@soc.inova.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1508892480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROUTE 73 N",
            "address_2": "40 LAKE CENTER DR SUITE 201A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533425",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MADISON AVE",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080602038",
            "telephone_number": "609-914-6180",
            "fax_number": "609-914-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT MCCOY",
        "first_name": "KIA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101246839",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08974600",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "D86797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2710668007",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIA",
            "last_name": "PRATT",
            "middle_name": "C",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Holly, NJ

Sources for this page

Verify at the official NPI Registry.