Matthew Guy Kestenbaum, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101232319 Issued in VA

Practice address

6565 Arlington Blvd
Suite 500
Falls Church, VA 22042-3013

Phone

(703) 396-6197

Fax

(703) 779-1372

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Capital Hospice

  • Community Based Hospice Care Agency
  • Falls Church, VA
  • NPI 1568485894

  Corporate Director, W-2 Managing Employee

  CMS ownership
• Capital Hospice

  • Community Based Hospice Care Agency
  • Greenbelt, MD
  • NPI 1386667277

  Corporate Director, W-2 Managing Employee

  CMS ownership
• Capital Hospice

  • Community Based Hospice Care Agency
  • Washington, DC
  • NPI 1790706935

  W-2 Managing Employee

  CMS ownership

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.

• Capital Palliative Care Consultants, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Largo, MD
  • NPI 1891011151
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1619063955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24419 MILLSTREAM DR",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201055837",
            "telephone_number": "703-957-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 ARLINGTON BLVD",
            "address_2": "SUITE 500",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423013",
            "telephone_number": "703-396-6197",
            "fax_number": "703-779-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESTENBAUM",
        "first_name": "MATTHEW",
        "middle_name": "GUY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101232319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA LICENSE",
            "identifier": "0101232319",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen Hyland Keogh, DPT
• Colleen S. Kepner, MD
• John Kerley, MD
• Shiva Kermanshi, DMD
• Lorraine Kerwin, CRNA
• Sajana Khadgi, PA-C
• Ezzat Khairi
• Athra Khalaf, DDS
• Khalid Abduljabar Khalaiwi, M.D.
• Farah J Khalid, DO

• Internal Medicine Physician in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.