Individual provider Active NPI

Kirti Johal, M.D.

  • Allergy & Immunology Physician
  • Burke, VA
National Provider Identifier
1720474372
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
0101281890 Issued in VA
Practice address
6035 Burke Centre Pkwy Ste 330
Burke, VA 22015-3750
Phone
(703) 323-3930
Fax
(703) 323-7457
NPI assigned
Apr 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 0101281890 VA Primary
Allergy & Immunology Physician 207K00000X MD048090 DC

Addresses

Primary practice location

6035 Burke Centre Pkwy Ste 330
Burke, VA 22015-3750

Mailing address

PO Box 603725
Charlotte, NC 28260-3725
Phone (828) 575-2625

Other identifiers 2

IdentifierTypeStateIssuer
6N8251OtherVAMEDICARE PTAN
1720474372MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20200922001421 DC Practitioner - Allergy/Immunology 2062710338 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Georgetown University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allergy Partners PLLCGroup PAC ID 7113822420, 144 clinicians

Practice addresses (Care Compare)

6035 Burke Centre Pkwy
Suite 330
Burke, VA 22015-3750
Phone (703) 323-3930

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD048090DCMDAllergy & Immunology Physician
0101281890VAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Partners, PLLC Allergy & Immunology CurrentSince May 7, 2024 Accepting new patients
NPI 1508468638 Allergy & Immunology CurrentSince May 7, 2024 Accepting new patients
Medical Faculty Associates, Inc Internal Medicine CurrentSince Sep 4, 2020 Accepting new patients
Allergy Partners, PLLC Allergy & Immunology Past Accepting new patients

Locations

2300 M St NW
Washington, DC 20037
Phone (202) 741-2222

2300 M St NW
Ste 200
Washington, DC 20037
Phone (202) 741-2770

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

6035 Burke Centre Pkwy
Ste 330
Burke, VA 22015
Phone (703) 323-3930

5210A Lyngate Ct
Burke, VA 22015
Phone (703) 214-9773

Interoperability endpoints

  • Direct secure messaging: kjohal19658@gwmfa.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1720474372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 BURKE CENTRE PKWY STE 330",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220153750",
            "telephone_number": "703-323-3930",
            "fax_number": "703-323-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHAL",
        "first_name": "KIRTI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "VA",
            "license": "0101281890",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "DC",
            "license": "MD048090",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "6N8251",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720474372",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

Verify at the official NPI Registry.