Individual provider Active NPI

Kimone Powell, M.D.

  • Maternal & Fetal Medicine Physician
  • Annapolis, MD
National Provider Identifier
1710258983
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
D0084002 Issued in MD
Practice address
185 Harry S Truman Pkwy Ste 120
Annapolis, MD 21401-7580
Phone
(410) 224-4442
NPI assigned
Jan 19, 2012
Last updated
Dec 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X D0084002 MD Primary

Addresses

Primary practice location

185 Harry S Truman Pkwy Ste 120
Annapolis, MD 21401-7580

Mailing address

2000 Medical Pkwy Ste 409
Annapolis, MD 21401-3746
Phone (667) 204-7212

Other practice location 1

4175 N Hanson Ct Ste 201
Bowie, MD 20716
Phone (410) 224-4442

Other practice location 2

100 Hospital Rd
Prince Frederick, MD 20678
Phone (410) 414-4740

Other practice location 3

28438 Marlboro Ave
Easton, MD 21601
Phone (410) 224-4442

Other practice location 4

7501 Greenway Center Dr Ste 910
Greenbelt, MD 20770
Phone (410) 224-4442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20171114001667 DC Practitioner - Obstetrics/Gynecology 4284990904 Reassigns benefits to 3 organizations
I20231114000821 MD Practitioner - Obstetrics/Gynecology 4284990904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Loma Linda University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians

Practice addresses (Care Compare)

185 Harry S Truman Pkwy
120 Center for Maternal and Fetal Med
Annapolis, MD 21401-7580
Phone (410) 224-4442

Merit-based Incentive Payment System (MIPS)

Final score
81.45 of 100Reported as group
Quality
67.28
Promoting interoperability
98
Improvement activities
40
Cost
72.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0084002MDMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital of Cecil County CurrentSince Sep 1, 2023 Accepting new patients
Luminis Health Medical Group, LLC Maternal & Fetal Medicine Current Accepting new patients
Union Hospital of Cecil County CurrentSince Sep 1, 2023 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Oct 2, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Oct 6, 2017 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Obhg Maryland PC CurrentSince Jun 1, 2024 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Oct 2, 2023 Accepting new patients
Obhg Maryland PC CurrentSince Jun 1, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Current Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Oct 6, 2017 Accepting new patients
Union Hospital of Cecil County Past Accepting new patients
Luminis Health Medical Group, LLC Past Accepting new patients

Locations

185 Harry S Truman Pkwy
Ste 120
Annapolis, MD 21401
Phone (410) 224-0844

2000 Medical Pkwy
Ste 309
Annapolis, MD 21401
Phone (410) 224-1133

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

28438 Marlboro Ave
Easton, MD 21601
Phone (410) 820-7270

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

207 North St
Ste A
Elkton, MD 21921

7501 Greenway Center Dr
Ste 910
Greenbelt, MD 20770
Phone (301) 982-0657

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

2101 E Jefferson St
Ste 6
Rockville, MD 20852

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

5100 Auth Way
Suitland, MD 20746
Phone (301) 702-5000

1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1710258983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY STE 409",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013746",
            "telephone_number": "667-204-7212",
            "fax_number": "443-481-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 HARRY S TRUMAN PKWY STE 120",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017580",
            "telephone_number": "410-224-4442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4175 N Hanson Ct Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "20716",
            "country_code": "US",
            "telephone_number": "410-224-4442",
            "fax_number": "410-244-4442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Prince Frederick",
            "state": "MD",
            "postal_code": "20678",
            "country_code": "US",
            "telephone_number": "410-414-4740",
            "fax_number": "410-535-8232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28438 Marlboro Ave",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "MD",
            "postal_code": "21601",
            "country_code": "US",
            "telephone_number": "410-224-4442",
            "fax_number": "410-244-4442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7501 Greenway Center Dr Ste 910",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "20770",
            "country_code": "US",
            "telephone_number": "410-224-4442",
            "fax_number": "410-224-8898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "KIMONE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MD",
            "license": "D0084002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.