Individual provider Active NPI

Kacie Jackson Saulters, M.D.

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1841556925
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D93063 Issued in MD
Practice address
3800 Reservoir Rd, NW
Room G-3041
Washington, DC 20007
Phone
(202) 444-1036
Fax
(202) 444-5104
NPI assigned
Apr 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD043113 DC
Internal Medicine Physician 207R00000X D93063 MD Primary

Addresses

Primary practice location

3800 Reservoir Rd, NW
Room G-3041
Washington, DC 20007

Mailing address

3800 Reservoir Rd, NW
Room G-3041
Washington, DC 20007
Phone (202) 444-1036

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
I20151006001943 DC Practitioner - Internal MedicinePractitioner - Hospitalist 2264660869 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
University of Alabama School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adfinitas Health at Umcap LLCGroup PAC ID 0840677738, 53 clinicians

Practice addresses (Care Compare)

901 Harry S Truman Dr
Largo, MD 20774-5477
Phone (240) 677-1000

901 Harry S Truman Dr N
Upper Marlboro, MD 20774-5477
Phone (240) 677-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D93063MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dimensions Healthcare Associates Inc Internal Medicine CurrentSince Feb 15, 2022 Accepting new patients
Dimensions Healthcare Associates, Inc. Current Accepting new patients
Dimensions Health Associates Dba University of Maryland Capital Region Internal Medicine CurrentSince Feb 15, 2022 Accepting new patients
Adfinitas Health at Umcap, LLC Hospitalist CurrentSince Jun 14, 2022 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jul 16, 2015 Accepting new patients
MGMC, LLC Current Accepting new patients
Medstar Medical Group II LLC CurrentSince Jul 16, 2015 Accepting new patients
Dimensions Health Corporation Past Accepting new patients

Locations

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

3800 Reservoir Rd NW
Rm G3041
Washington, DC 20007
Phone (202) 444-1036

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010

901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021

Interoperability endpoints

  • Direct secure messaging: ksaulters884355@direct.umm.edu

Organizations & group practices 8

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 1

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": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1841556925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD, NW",
            "address_2": "ROOM G-3041",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20007",
            "telephone_number": "202-444-1036",
            "fax_number": "202-444-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD, NW",
            "address_2": "ROOM G-3041",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20007",
            "telephone_number": "202-444-1036",
            "fax_number": "202-444-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAULTERS",
        "first_name": "KACIE",
        "middle_name": "JACKSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "DC",
            "license": "MD043113",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D93063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.