Vivlyn Mathies Kimou, PA-C

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

C0009806 Issued in MD

Practice address

2041 Georgia Avenue, NW, 3Rd Floor, Suite 3200
Washington, DC 20060

Phone

(202) 865-3333

NPI assigned

Feb 3, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Howard University

  dba Faculty Practice Plan Howard University

  • Multi-Specialty Clinic/Center
  • Washington, DC
  • NPI 1033163597
  NPD (past)
• Shady Grove Fertility Reproductive Science Center

  • Reproductive Endocrinology Physician
  • Rockville, MD
  • NPI 1891849832
  NPD (past)
• Shady Grove Reproductive Science Center PC

  dba SGFC Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Rockville, MD
  • NPI 1437232758
  NPD (past)

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1841004868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVENUE, NW, 3RD FLOOR, SUITE 3200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVENUE, NW, 3RD FLOOR, SUITE 3200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20060",
            "telephone_number": "202-865-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMOU",
        "first_name": "VIVLYN",
        "middle_name": "MATHIES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "DC",
            "license": "C0009806",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "DC",
            "license": "C0009806",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MD",
            "license": "C0009806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul L Kimmel, M.D.
• Maureen Judith Kimmeth, O.D.
• Jemal Demma Kimmo, PHARMD
• Frida Minde Kimolo
• Melitus Kimolo
• Taghi Kimyai-Asadi, M.D.
• Kinara Health and Home Care Services LLC
• Andre Kinard
• Anna Kinard, RD
• Antione Kinard

• Maternal & Fetal Medicine Physician in Washington, DC
• Providers in Washington, DC by specialty
• Maternal & Fetal Medicine Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.