Individual provider Active NPI

Joan Kristal, M.D

  • Anesthesiology Physician
  • Rockville, MD
National Provider Identifier
1740228014
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D50864 Issued in MD
Practice address
1901 Research Blvd
350
Rockville, MD 20850-3164
Phone
(301) 838-9606
Fax
(301) 838-9029
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D50864 MD Primary

Addresses

Primary practice location

1901 Research Blvd
350
Rockville, MD 20850-3164

Mailing address

7806 Aberdeen Rd
Bethesda, MD 20814-1102

Other identifiers 2

IdentifierTypeStateIssuer
407235900MedicaidMD
601285800OtherFECA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20040527001158 MD Practitioner - Anesthesiology 0446231120 Reassigns benefits to 1 organization
I20040609000457 DC Practitioner - Anesthesiology 0446231120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
George Washington University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Colonies Anesthesia Associates, LLCGroup PAC ID 8426039744, 339 clinicians

Practice addresses (Care Compare)

11210 Old Georgetown Rd
Rockville, MD 20852-3202
Phone (301) 881-7770

8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Phone (301) 896-3931

Hospital & facility affiliations

  • Suburban Hospital Hospital, Bethesda, MD, CCN 210022
  • Sibley Memorial Hospital Hospital, Washington, DC, CCN 090005

Merit-based Incentive Payment System (MIPS)

Final score
63.85 of 100Reported as group
Quality
57.47
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D50864MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Colonies Anesthesia Associates, LLC Anesthesiology CurrentSince Apr 1, 2004 Accepting new patients

Locations

8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578

6420 Rockledge Dr
Ste 2100
Bethesda, MD 20817
Phone (301) 896-6700

11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770

11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770

8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688

Interoperability endpoints

  • Direct secure messaging: jkristal158755@direct.hopkinsmedicine.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1740228014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7806 ABERDEEN RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 RESEARCH BLVD",
            "address_2": "350",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503164",
            "telephone_number": "301-838-9606",
            "fax_number": "301-838-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISTAL",
        "first_name": "JOAN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D50864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407235900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FECA",
            "identifier": "601285800",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.