Individual provider Active NPI

Ava A Kaufman, M.D.

  • Internal Medicine Physician
  • Bethesda, MD
National Provider Identifier
1790836138
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D26259 Issued in MD
Practice address
8218 Wisconsin Ave
Suite 103
Bethesda, MD 20814-3107
Phone
(301) 215-8480
Fax
(301) 215-8401
NPI assigned
Jan 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D26259 MD Primary

Addresses

Primary practice location

8218 Wisconsin Ave
Suite 103
Bethesda, MD 20814-3107

Mailing address

8218 Wisconsin Ave
Suite 103
Bethesda, MD 20814-3107
Phone (301) 215-8480

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080828000372 DC Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5193891075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bethesda Internal Medicine and Geriatrics, P.C.Group PAC ID 3274609151, 2 clinicians

Practice addresses (Care Compare)

8218 Wisconsin Ave
Suite 103
Bethesda, MD 20814-3107
Phone (301) 215-8480

Merit-based Incentive Payment System (MIPS)

Final score
49.24 of 100Reported as individual
Quality
0
Improvement activities
40
Cost
64.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D26259MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Internal Medicine and Geriatrics, P.C. Internal Medicine CurrentSince Jul 29, 2008 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8218 Wisconsin Ave
Ste 103
Bethesda, MD 20814
Phone (301) 215-8402

Interoperability endpoints

  • Direct secure messaging: ava.kaufman.1@13939.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1790836138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8218 WISCONSIN AVE",
            "address_2": "SUITE 103",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143107",
            "telephone_number": "301-215-8480",
            "fax_number": "301-215-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8218 WISCONSIN AVE",
            "address_2": "SUITE 103",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143107",
            "telephone_number": "301-215-8480",
            "fax_number": "301-215-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "AVA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-14",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D26259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.