Individual provider Active NPI

Meena R Kumar, NP

  • Nurse Practitioner
  • Washington, DC
National Provider Identifier
1790702256
Registry record updated Jan 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN961317 Issued in DC
Practice address
4601 Martin Luther King Jr Ave SW
Washington, DC 20032-1131
Phone
(202) 574-5700
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AC000379 MD
Nurse Practitioner 363L00000X RN961317 DC Primary

Addresses

Primary practice location

4601 Martin Luther King Jr Ave SW
Washington, DC 20032-1131

Mailing address

10304 Dunn Meadow Rd
Vienna, VA 22182-1361
Phone (703) 757-9564

Other identifiers 1

IdentifierTypeStateIssuer
033933600MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20090217000329 MD Practitioner - Nurse Practitioner 7517940729 Reassigns benefits to 1 organization
I20090217000487 DC Practitioner - Nurse Practitioner 7517940729 Reassigns benefits to 2 organizations
Practice locations: Washington, DC

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
90.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AC000379MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Wellness LLC CurrentSince Oct 15, 2024 Accepting new patients
Grow Healthcare Group PA CurrentSince Jul 12, 2024 Accepting new patients
Chivic Healthcare Services LLC Family PastSince Feb 1, 2023 Accepting new patients
Capitol Medical Center LLC Past Accepting new patients

Locations

1331 H St NW
Ste 200
Washington, DC 20005
Phone (202) 417-6576

1100 H St NW
Ste 1100
Washington, DC 20005
Phone (202) 794-6821

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22816/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642204800000",
    "number": "1790702256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10304 DUNN MEADOW RD",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221821361",
            "telephone_number": "703-757-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 MARTIN LUTHER KING JR AVE SW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200321131",
            "telephone_number": "202-574-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "MEENA",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-01-15",
        "certification_date": "2022-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC000379",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "RN961317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033933600",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.