Individual provider Active NPI

Denise Chevalier, MD

  • Allergy Physician
  • Largo, MD
National Provider Identifier
1518057397
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
D33391 Issued in MD
Practice address
1400 Mercantile LN
Ste 200
Largo, MD 20774-5341
Phone
(301) 773-4100
Fax
(301) 773-4300
NPI assigned
Oct 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 14350 DC
Allergy Physician 207KA0200X D33391 MD Primary

Addresses

Primary practice location

1400 Mercantile LN
Ste 200
Largo, MD 20774-5341

Mailing address

1400 Mercantile LN
Ste 200
Largo, MD 20774-5341
Phone (301) 773-4100

Other identifiers 2

IdentifierTypeStateIssuer
21006MedicaidMD
0443500MedicaidDC

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
I20070828001013 DC Practitioner - Allergy/Immunology 7517059066 Reassigns benefits to 1 organization
Practice locations: Largo, MD; Washington, DC

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Howard University College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

1300 Mercantile LN
Suite 140
Upper Marlboro, MD 20774-5331
Phone (301) 773-4100

650 Pennsylvania Ave SE
Suite 480
Washington, DC 20003-4373
Phone (202) 546-0062

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D33391MDMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Apr 17, 2017 Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 17, 2017 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Universal Support Agency LLC PastSince Aug 11, 2024 Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

1400 Mercantile Ln
Ste 200
Upper Marlboro, MD 20774
Phone (202) 547-7797

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

Interoperability endpoints

  • Direct secure messaging: denise.chevalier.1@8042.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

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

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518057397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MERCANTILE LN",
            "address_2": "STE 200",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745341",
            "telephone_number": "301-773-4100",
            "fax_number": "301-773-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MERCANTILE LN",
            "address_2": "STE 200",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745341",
            "telephone_number": "301-773-4100",
            "fax_number": "301-773-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEVALIER",
        "first_name": "DENISE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "DC",
            "license": "14350",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MD",
            "license": "D33391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21006",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0443500",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

Verify at the official NPI Registry.