Individual provider Active NPI

Kamalinee V Deshpande

  • Family Medicine Physician
  • Rockville, MD
National Provider Identifier
1730277054
Registry record updated Oct 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0020415 Issued in MD
Practice address
6001 Lux Lane
Rockville, MD 20852-3501
Phone
(301) 493-6866
Fax
(301) 493-6867
NPI assigned
Oct 11, 2006
Last updated
Oct 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0020415 MD
Family Medicine Physician 207Q00000X D0020415 MD Primary

Addresses

Primary practice location

6001 Lux Lane
Rockville, MD 20852-3501

Mailing address

6001 Lux Lane
Rockville, MD 20852-3501
Phone (301) 493-6866

Other identifiers 1

IdentifierTypeStateIssuer
200056642OtherMDTAX ID

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
I20100823000099 DC Practitioner - General PracticePractitioner - Emergency Medicine 8123152600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Emergency Medicine
Education
Other, 1958
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6001 Lux Lane
Rockville, MD 20852-3501

6001 Lux LN
Rockville, MD 20852-3501

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kamalinee Deshpande MD PA CurrentSince Feb 24, 2010 Accepting new patients

Organizations & group practices 1

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445644800000",
    "number": "1730277054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 LUX LANE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523501",
            "telephone_number": "301-493-6866",
            "fax_number": "301-493-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 LUX LANE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523501",
            "telephone_number": "301-493-6866",
            "fax_number": "301-493-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHPANDE",
        "first_name": "KAMALINEE",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2015-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0020415",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0020415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "200056642",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.