Individual provider Active NPI

Richard Kalunga, PHD

  • Speech-Language Pathologist
  • Chevy Chase, MD
National Provider Identifier
1780819029
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
03798 Issued in MD
Practice address
2 Wisconsin Cir
Suite 700
Chevy Chase, MD 20815-7003
Phone
(703) 349-0034
Fax
(703) 349-0365
NPI assigned
May 15, 2009
Last updated
May 15, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 03798 MD Primary
Speech-Language Pathologist 235Z00000X 2202003170 VA

Addresses

Primary practice location

2 Wisconsin Cir
Suite 700
Chevy Chase, MD 20815-7003

Mailing address

12120 Chancery Station Cir
Reston, VA 20190-5800
Phone (703) 349-0034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
03798MDMDSpeech-Language Pathologist
2202003170VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health and Education Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242345600000",
    "number": "1780819029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12120 CHANCERY STATION CIR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905800",
            "telephone_number": "703-349-0034",
            "fax_number": "703-349-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WISCONSIN CIR",
            "address_2": "SUITE 700",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157003",
            "telephone_number": "703-349-0034",
            "fax_number": "703-349-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALUNGA",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-15",
        "last_updated": "2009-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "03798",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202003170",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.