Individual provider Active NPI

Amanda Trotter Kappler, M.D.

  • Diagnostic Radiology Physician
  • Washington, DC
National Provider Identifier
1700142130
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD044963 Issued in DC
Practice address
900 23Rd St NW
Suite G-2092
Washington, DC 20037-2342
Phone
(202) 715-5153
NPI assigned
Apr 10, 2012
Last updated
Aug 22, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD044963 DC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

900 23Rd St NW
Suite G-2092
Washington, DC 20037-2342

Mailing address

107 Parker Ave
Little Silver, NJ 07739-1534
Phone (908) 309-3566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170628002526 DC Practitioner - Diagnostic Radiology 3577832914 Reassigns benefits to 1 organization
I20180723001144 VA Practitioner - Diagnostic Radiology 3577832914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Georgetown University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Radiology Assoc PLLCGroup PAC ID 8729972302, 36 clinicians

Practice addresses (Care Compare)

1005 N Glebe Rd
Suite 110
Arlington, VA 22201-4751
Phone (469) 206-8251

21351 Ridgetop Cir
Suite 100
Sterling, VA 20166-6608
Phone (571) 388-2886

21351 Ridgetop Cir
Suite 150
Sterling, VA 20166-6561
Phone (571) 388-2886

3022 Williams Dr
Fairfax, VA 22031-4600

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD044963DCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Radiology Assoc PLLC CurrentSince Jul 16, 2018 Accepting new patients
Washington Radiology Associates, PLLC CurrentSince Jul 16, 2018 Accepting new patients
Washington Radiology Associates, PLLC CurrentSince Jul 16, 2018 Accepting new patients

Locations

2141 K St NW
Ste 200
Washington, DC 20037
Phone (202) 223-9722

3015 Williams Dr
Ste 200
Fairfax, VA 22031
Phone (703) 641-9133

3022 Williams Dr
Ste 200
Fairfax, VA 22031
Phone (703) 698-8800

21351 Ridgetop Cir
Ste 100
Sterling, VA 20166
Phone (571) 434-0140

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503360000000",
    "number": "1700142130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 PARKER AVE",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391534",
            "telephone_number": "908-309-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 23RD ST NW",
            "address_2": "SUITE G-2092",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372342",
            "telephone_number": "202-715-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPPLER",
        "first_name": "AMANDA",
        "middle_name": "TROTTER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2017-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD044963",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.