Active NPI
Paul Kasemphantai, STUDENT
- Physician Assistant
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA031363
- Practice address
- 2041 Georgia Ave NW # 1
Washington, DC 20060-0001 - Phone
- (202) 865-1141
- NPI assigned
- Mar 17, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C06509 | MD | |
| Physician Assistant | 363A00000X | PA031363 | DC | Primary |
Addresses
Primary practice location
2041 Georgia Ave NW # 1
Washington, DC 20060-0001
Mailing address
257 Amberleigh Dr
Silver Spring, MD 20905-5992
Phone (301) 642-2101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA031363 | DC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Synergy Medical Group LLC | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Synergy Medical Group LLC | Current | Accepting new patients | |
| Synergy Medical Group LLC | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785
2041 Georgia Ave NW
#1
Washington, DC 20060
Phone (202) 865-1141
6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890
3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939
299 Hurley Ave
Rockville, MD 20850
Phone (301) 762-8900
1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230
1205 York Rd
Ste 11
Timonium, MD 21093
Phone (443) 325-0031
3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960
11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505
2000 15th St N
Ste 600
Arlington, VA 22201
Phone (202) 425-0000
Organizations & group practices 13
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.
-
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1902175870
-
- Emergency Medicine Physician
- Washington, DC
- NPI 1073914396
-
- Internal Medicine Physician
- Lutherville, MD
- NPI 1912736901
-
- Internal Medicine Physician
- Elkton, MD
- NPI 1922598929
DC
-
- Emergency Medicine Physician
- Germantown, MD
- NPI 1568357754
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- General Practice Physician
- Lexington Park, MD
- NPI 1275410474
-
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1942623319
-
- Endocrinology, Diabetes & Metabolism Physician
- Lutherville, MD
- NPI 1477381457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1790226181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "257 AMBERLEIGH DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209055992",
"telephone_number": "301-642-2101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 GEORGIA AVE NW # 1",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200600001",
"telephone_number": "202-865-1141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASEMPHANTAI",
"first_name": "PAUL",
"credential": "STUDENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-17",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C06509",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DC",
"license": "PA031363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.