Active NPI
Magda Kowalczykowski, M.D.
- Family Medicine Physician
- MC Lean, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101278286
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Inova Fair Oaks Hospital
- Reston Hospital Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.98 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Virginia Family Practice Associates | Family Medicine | Current | Accepting new patients |
| Inova Physician Partners, LLC | Family Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- Chantilly, VA
- NPI 1215264916
DC, Family Medicine
-
- Family Medicine Physician
- Arlington, VA
- NPI 1992869689
DC, Family Medicine
-
- Orthopaedic Surgery Physician
- Leesburg, VA
- NPI 1811204050
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Chantilly, VA
- NPI 1619118528
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.