Active NPI
Korin B Hudson Fabian, MD
- Emergency Medicine Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD035967
- Practice address
- 110 Irving St NW
Washington, DC 20010-2976 - Phone
- (202) 877-7632
- Fax
- (610) 834-2862
- NPI assigned
- Jun 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | E0101238136 | VA | |
| Emergency Medicine Physician | 207P00000X | MD035967 | DC | Primary |
Addresses
Primary practice location
110 Irving St NW
Washington, DC 20010-2976
Mailing address
6858 Old Dominion Dr Ste 202
MC Lean, VA 22101-3899
Phone (703) 288-2790
Other practice location 1
6858 Old Dominion Dr Ste 202
Mc Lean, VA 22101-3899
Phone (703) 288-2790
Other practice location 2
3800 Reservoir Rd NW Fl Ccc
Washington, DC 20007-2113
Phone (202) 444-2116
Other names 1
- Dr. Korin B Hudson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.34 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.47
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 80.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0101238136 | VA | MD | Sports Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Medstar Urgent Care, LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Medlantic Healthcare Group | Emergency Medicine | Past | Accepting new patients |
Locations
3800 Reservoir Rd NW
Fl Ccc
Washington, DC 20007
Phone (202) 444-2116
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
3007 Tilden St NW
Ste 5N
Washington, DC 20008
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
102 Irving St NW
Washington, DC 20010
Phone (202) 877-1587
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890
3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960
11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505
Organizations & group practices 7
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.
-
dba MedStar PromptCare
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1902175870
-
dba MedStar PromptCare-Wheaton
- Urgent Care Clinic/Center
- Wheaton, MD
- NPI 1871843409
DC
-
- General Practice Physician
- Washington, DC
- NPI 1700154226
-
- General Practice Physician
- Lexington Park, MD
- NPI 1275410474
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1467408450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525219200000",
"number": "1679510382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6858 OLD DOMINION DR STE 202",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221013899",
"telephone_number": "703-288-2790",
"fax_number": "703-288-2799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 IRVING ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102976",
"telephone_number": "202-877-7632",
"fax_number": "610-834-2862"
}
],
"practiceLocations": [
{
"address_1": "6858 Old Dominion Dr Ste 202",
"address_purpose": "LOCATION",
"city": "Mc Lean",
"state": "VA",
"postal_code": "221013899",
"country_code": "US",
"telephone_number": "703-288-2790",
"fax_number": "703-288-2799",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3800 Reservoir Rd NW Fl Ccc",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200072113",
"country_code": "US",
"telephone_number": "202-444-2116",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUDSON FABIAN",
"first_name": "KORIN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2018-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207PS0010X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Sports Medicine",
"state": "VA",
"license": "E0101238136",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "DC",
"license": "MD035967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KORIN",
"last_name": "HUDSON",
"middle_name": "B",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.