Active NPI
Meena R Kumar, NP
- Nurse Practitioner
- Washington, DC
National Provider Identifier
1790702256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN961317
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 033933600 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| AC000379 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achieve Wellness LLC | Current | Accepting new patients | |
| Grow Healthcare Group PA | Current | Accepting new patients | |
| Chivic Healthcare Services LLC | Family | Past | 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
- 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2022; 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.