Individual provider Active NPI

Katherine Ethier David, D.O.

  • Family Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1629084249
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0055125 Issued in MD
Practice address
4411 Medallion Dr
Silver Spring, MD 20904-7333
Phone
(240) 437-3320
Fax
(301) 890-9604
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H0055125 MD Primary

Addresses

Primary practice location

4411 Medallion Dr
Silver Spring, MD 20904-7333

Mailing address

4411 Medallion Dr
Silver Spring, MD 20904-7333
Phone (240) 437-3320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, 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
I20050426000461 DC Practitioner - Family Practice 8224077615 Reassigns benefits to 2 organizations
I20140623001354 VA Practitioner - Family Practice 8224077615 Reassigns benefits to 1 organization
I20140808001232 MD Practitioner - Family Practice 8224077615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1996
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)

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

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Menocal Medical Services PA Family Medicine Current Accepting new patients
Privia Medical Group, LLC CurrentSince Mar 12, 2014 Accepting new patients
Privia Medical Group, LLC Family Medicine CurrentSince Mar 12, 2014 Accepting new patients
Privia Care Center LLC CurrentSince Oct 3, 2018 Accepting new patients
Privia Care Center LLC CurrentSince Oct 3, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041

14300 Gallant Fox Ln
Ste 118
Bowie, MD 20715
Phone (301) 464-3020

5530 Wisconsin Ave
Ste 1149
Chevy Chase, MD 20815
Phone (240) 223-2639

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

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

2415 Musgrove Rd
Ste 105
Silver Spring, MD 20904
Phone (301) 989-0193

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

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

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • Direct secure messaging: katherine.david.2@8042.direct.athenahealth.com

Organizations & group practices 6

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 1

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1629084249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 MEDALLION DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047333",
            "telephone_number": "240-437-3320",
            "fax_number": "301-890-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 MEDALLION DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047333",
            "telephone_number": "240-437-3320",
            "fax_number": "301-890-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "KATHERINE",
        "middle_name": "ETHIER",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0055125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.