Individual provider Active NPI

Kathryn Ratanavanich, D.O.

  • Nephrology Physician
  • Washington, DC
National Provider Identifier
1801093919
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
DO034186 Issued in DC
Practice address
106 Irving St NW
Suite 418
Washington, DC 20010-2927
Phone
(202) 882-2500
Fax
(202) 726-8076
NPI assigned
Jul 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X DO034186 DC Primary

Addresses

Primary practice location

106 Irving St NW
Suite 418
Washington, DC 20010-2927

Mailing address

106 Irving Street
Suite 418
Washington, DC 20010-2054
Phone (202) 882-2500

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
I20101025001199 DC Practitioner - Nephrology 9436287430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Montgomery Renal Associates P.a.Group PAC ID 0042345464, 5 clinicians

Practice addresses (Care Compare)

3941 Ferrara Dr
Silver Spring, MD 20906-4709
Phone (301) 942-5355

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Renal Associates P.a. CurrentSince Aug 18, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3941 Ferrara Dr
Silver Spring, MD 20906
Phone (301) 340-1510

Interoperability endpoints

  • Direct secure messaging: kratanavanich42101@direct.davitaphysiciansolutions.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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236729600000",
    "number": "1801093919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 IRVING STREET",
            "address_2": "SUITE 418",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102054",
            "telephone_number": "202-882-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 IRVING ST NW",
            "address_2": "SUITE 418",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102927",
            "telephone_number": "202-882-2500",
            "fax_number": "202-726-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATANAVANICH",
        "first_name": "KATHRYN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2009-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "DC",
            "license": "DO034186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.