Individual provider Active NPI

Kattie Khadar, DNP, CRNP-FAMILY

  • Family Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1740763093
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R139841 Issued in MD
Practice address
8901 Wisconsin Avenue
Bethesda, MD 20814
Phone
(301) 319-8809
NPI assigned
Sep 12, 2018
Last updated
Sep 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R139841 MD Primary

Addresses

Primary practice location

8901 Wisconsin Avenue
Bethesda, MD 20814

Mailing address

11212 Broad Green Drive
Potomac, MD 20854
Phone (240) 481-5289

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190522002895 DC Practitioner - Nurse Practitioner 8123361714 Reassigns benefits to 4 organizations
I20250108004175 MD Practitioner - Nurse Practitioner 8123361714 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ghanshyam Gupta, M.D. PCGroup PAC ID 0840249587, 6 clinicians
Mdics at BWMC LLCGroup PAC ID 7315106184, 77 clinicians

Practice addresses (Care Compare)

10110 Molecular Dr
Suite 111
Rockville, MD 20850-7538
Phone (301) 838-4224

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (443) 949-0814

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.91 of 100Reported as group
Quality
50.88
Improvement activities
40
Cost
69.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vinu Ganti M.D., P.C. CurrentSince Nov 1, 2024 Accepting new patients
Mdics at BWMC LLC CurrentSince Jan 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC CurrentSince Feb 15, 2025 Accepting new patients
Rahel G. Yirga MD PC CurrentSince Dec 4, 2020 Accepting new patients
Ghanshyam Gupta, M.D. PC CurrentSince May 1, 2025 Accepting new patients
Usacs Integrated Acute Care Services of Maryland, LLC CurrentSince Jun 2, 2022 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC CurrentSince Feb 15, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

12800 Middlebrook Rd
Ste 204
Germantown, MD 20874
Phone (301) 540-8146

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

10110 Molecular Dr
Ste 111
Rockville, MD 20850
Phone (301) 468-2400

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

6035 Burke Centre Pkwy
Ste 390
Burke, VA 22015
Phone (703) 978-0756

Organizations & group practices 9

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.

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": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1740763093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11212 BROAD GREEN DRIVE",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "20854",
            "telephone_number": "240-481-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVENUE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20814",
            "telephone_number": "301-319-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHADAR",
        "first_name": "KATTIE",
        "credential": "DNP, CRNP-FAMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R139841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.