Individual provider Active NPI

Kennett Darrel Radford II, PHD, CRNA

  • Certified Registered Nurse Anesthetist
  • Chevy Chase, MD
National Provider Identifier
1598080541
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R230515 Issued in MD
Practice address
5530 Wisconsin Ave Ste 1620
Chevy Chase, MD 20815-4322
Phone
(301) 718-9800
Fax
(301) 986-1672
NPI assigned
Apr 1, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024168740 VA
Certified Registered Nurse Anesthetist 367500000X R230515 MD Primary

Addresses

Primary practice location

5530 Wisconsin Ave Ste 1620
Chevy Chase, MD 20815-4322

Mailing address

2481 Llewellyn Ave Suite 5800
Fort George S. Meade, MD 20755-5129
Phone (301) 677-8931

Other practice location 1

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 473-0055

Other practice location 2

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 473-0055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180314001452 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608058920 Reassigns benefits to 1 organization
I20201215000875 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608058920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians

Practice addresses (Care Compare)

4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0100

600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000

600 N Wolfe St
Blalock 266
Baltimore, MD 21287-0005
Phone (410) 502-4340

Hospital & facility affiliations

  • Johns Hopkins Bayview Medical Center Hospital, Baltimore, MD, CCN 210029

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
R230515MDMDCertified Registered Nurse Anesthetist
0024168740VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2021 Accepting new patients
Johns Hopkins University CurrentSince Jan 1, 2021 Accepting new patients
North American Partners in Anesthesia Maryland LLC CurrentSince May 6, 2019 Accepting new patients

Locations

600 N Wolfe St
Baltimore, MD 21287

6430 Rockledge Dr
Ste 160
Bethesda, MD 20817
Phone (301) 312-6144

5530 Wisconsin Ave
Ste 1620
Chevy Chase, MD 20815
Phone (301) 717-9800

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

Interoperability endpoints

  • Direct secure messaging: kradford792842@direct.hopkinsmedicine.org

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.

Hospital & facility affiliations 2

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": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1598080541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2481 LLEWELLYN AVE SUITE 5800",
            "city": "FORT GEORGE S. MEADE",
            "state": "MD",
            "postal_code": "207555129",
            "telephone_number": "301-677-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 1620",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154322",
            "telephone_number": "301-718-9800",
            "fax_number": "301-986-1672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Gresham Dr",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071904",
            "country_code": "US",
            "telephone_number": "757-473-0055",
            "fax_number": "757-473-0075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Gresham Dr",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071904",
            "country_code": "US",
            "telephone_number": "757-473-0055",
            "fax_number": "757-473-0075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADFORD",
        "first_name": "KENNETT",
        "middle_name": "DARREL",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "PHD, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-01",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024168740",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R230515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.