Individual provider Active NPI

Kavita K Wei, M.D.

  • Nephrology Physician
  • Martinsburg, WV
National Provider Identifier
1548515505
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
01012621000 Issued in VA
Practice address
1004 Sushruta Dr Ste a
Martinsburg, WV 25401-8801
Phone
(304) 449-3778
NPI assigned
Jul 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X 01012621000 VA Primary

Addresses

Primary practice location

1004 Sushruta Dr Ste a
Martinsburg, WV 25401-8801

Mailing address

1004 Sushruta Dr Ste a
Martinsburg, WV 25401-8801
Phone (410) 698-8845

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address KidneySpecialistKavitaWei@127234.advancedmd-direct.com Direct
Direct Messaging Address KidneySpecialistKavitaWei@127234.advancedmd-direct.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA, AL, AZ, MA, TN, MI, OH, GA9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20170906001289 WV Practitioner - Internal MedicinePractitioner - Nephrology 1052623857 Reassigns benefits to 1 organization
I20170928001014 VA Practitioner - Nephrology 1052623857 Reassigns benefits to 1 organization
I20220309002370 AL Practitioner - Nephrology 1052623857 Reassigns benefits to 1 organization
I20220404001586 AZ Practitioner - Nephrology 1052623857 Reassigns benefits to 1 organization
I20220408000882 MA Practitioner - Nephrology 1052623857
I20220506000034 TN Practitioner - Nephrology 1052623857 Reassigns benefits to 1 organization
I20240724002040 MI Practitioner - Nephrology 1052623857 Reassigns benefits to 1 organization
I20240917000349 OH Practitioner - Nephrology 1052623857 Reassigns benefits to 1 organization
I20250107000280 GA Practitioner - Nephrology 1052623857 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01012621000VAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services PC Nephrology CurrentSince Mar 1, 2022 Accepting new patients
Monogram Health Professional Services PC Nephrology CurrentSince Nov 26, 2024 Accepting new patients
Monogram Health Professional Services PC Nephrology CurrentSince Mar 28, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2700 Corporate Dr
Ste 200
Birmingham, AL 35242
Phone (205) 314-4760

60 E Rio Salado Pkwy
Ste 300
Tempe, AZ 85281

1225 W Washington St
Ste 120
Tempe, AZ 85288
Phone (602) 536-6304

3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 277-2167

5410 Maryland Way
Ste 400
Brentwood, TN 37027

5410 Maryland Way
Ste 301
Brentwood, TN 37027
Phone (615) 762-3845

Interoperability endpoints

  • Direct secure messaging: kavita.wei.1@22854.direct.athenahealth.com
  • Direct secure messaging: kidneyspecialistkavitawei@127234.advancedmd-direct.com

Organizations & group practices 5

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": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1548515505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 SUSHRUTA DR STE A",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254018801",
            "telephone_number": "410-698-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 SUSHRUTA DR STE A",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254018801",
            "telephone_number": "304-449-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEI",
        "first_name": "KAVITA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2022-07-21",
        "certification_date": "2021-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "01012621000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KidneySpecialistKavitaWei@127234.advancedmd-direct.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1004 Sushruta Dr Ste A",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254018801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KidneySpecialistKavitaWei@127234.advancedmd-direct.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1004 Sushruta Dr Ste A",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254018801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.