Kathleen Abalos
Individual provider Active NPI Internal Medicine Physician · Washington, DC
NPI 1831451764 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1831451764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD045020 (DC)
- Practice address
- 3800 Reservoir Rd NW
Washington, DC 20007-2113 - Phone
- (202) 444-3976
- NPI assigned
- Jun 15, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 25
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Virginia School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medstar Medical Group II LLC
Practice addresses (Care Compare)
3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 444-2000
Hospital & facility affiliations
- Medstar Georgetown University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.34 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.47
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170822000379 | DC | Practitioner - Internal Medicine | 1355656174 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD045020 | DC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| MGMC, LLC | Current |
Accepting new patients | |
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| Medstar - Georgetown Medical Center, Inc. | Past | Accepting new patients | |
| Medstar Medical Group II LLC | Internal Medicine | Past | Accepting new patients |
| Medstar Georgetown Medical Center, Inc | Internal Medicine | Past | Accepting new patients |
Locations
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
3800 Reservoir Rd NW
#3004
Washington, DC 20007
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 263266 | MA | |
| Internal Medicine Physician | 207R00000X | MD045020 | DC | Yes |
Addresses
Primary practice location
3800 Reservoir Rd NW
Washington, DC 20007-2113
Mailing address
3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 444-3976
Other practice location 1
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-7000
Other practice location 2
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-7000
Other providers in Washington, DC
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- Joy S Abah
- Theophilus Abah
- Firehiwot Abajirga
- Rose Abakah
- Agnes Abane
- Emmanuel T Abang
- Mbecha Abangamua
- Sahsandra Asong Abangawoh I
- Mirabel Akonaka Abange
All providers in Washington, DC · Internal Medicine Physician in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.