Individual provider Active NPI

Magda Kowalczykowski, M.D.

  • Family Medicine Physician
  • MC Lean, VA
National Provider Identifier
1750814711
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101278286 Issued in VA
Practice address
6845 Elm St Ste 710
MC Lean, VA 22101-3851
Phone
(703) 848-8500
Fax
(703) 893-1946
NPI assigned
Apr 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 0101278286 VA Primary

Addresses

Primary practice location

6845 Elm St Ste 710
MC Lean, VA 22101-3851

Mailing address

6845 Elm St Ste 710
MC Lean, VA 22101-3851

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
I20230726003449 DC Practitioner - Family Practice 3971830530 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northern Virginia Family Practice AssociatesGroup PAC ID 6800872433, 11 clinicians
Inova Physician Partners LLCGroup PAC ID 2466581772, 258 clinicians

Practice addresses (Care Compare)

2311 M St NW
Suite 301
Washington, DC 20037-1468
Phone (202) 861-0111

2445 Army Navy Dr
Suite 400
Arlington, VA 22206-2988
Phone (703) 379-8879

6845 Elm St
Suite 710
MC Lean, VA 22101-3851
Phone (703) 848-8500

Hospital & facility affiliations

  • Five Star Home Health Care Home health agency, Chantilly, VA, CCN 497678
  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101
  • Reston Hospital Center Hospital, Reston, VA, CCN 490107

Merit-based Incentive Payment System (MIPS)

Final score
93.98 of 100Reported as apm
Quality
87.97
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Virginia Family Practice Associates Family Medicine CurrentSince Sep 5, 2023 Accepting new patients
Inova Physician Partners, LLC Family Medicine CurrentSince May 8, 2023 Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients

Locations

2311 M St NW
Ste 301
Washington, DC 20037
Phone (202) 429-3783

2445 Army Navy Dr
Ste 400
Arlington, VA 22206
Phone (703) 379-8879

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

6845 Elm St
Ste 710
McLean, VA 22101
Phone (703) 848-8500

12330 Pinecrest Rd
Ste 250
Reston, VA 20191
Phone (703) 476-1050

Interoperability endpoints

  • Direct secure messaging: mkowalczykowski1125140@soc.inova.org

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.

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": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1750814711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 ELM ST STE 710",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 ELM ST STE 710",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013851",
            "telephone_number": "703-848-8500",
            "fax_number": "703-893-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALCZYKOWSKI",
        "first_name": "MAGDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101278286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

Verify at the official NPI Registry.