Individual provider Active NPI

Ann Mecherikunnel, M.D

  • Internal Medicine Physician
  • Bethesda, MD
National Provider Identifier
1861442758
Registry record updated Sep 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101221278 Issued in VA
Practice address
8960 Brown Dr FL 1
Bethesda, MD 20889-5405
Phone
(301) 319-4408
Fax
(301) 295-2443
NPI assigned
May 11, 2006
Last updated
Sep 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2024

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 0101221278 VA Primary

Addresses

Primary practice location

8960 Brown Dr FL 1
Bethesda, MD 20889-5405

Mailing address

8960 Brown Dr
BLDG 7 FL 1 RM 1501
Bethesda, MD 20889-5629
Phone (301) 319-4408

Other identifiers 1

IdentifierTypeStateIssuer
0101221278OtherVASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20121204000154 VA Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 7012908148

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101221278VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Hand Center P.L.C PastSince Apr 9, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725753600000",
    "number": "1861442758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8960 BROWN DR",
            "address_2": "BLDG 7 FL 1 RM 1501",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895629",
            "telephone_number": "301-319-4408",
            "fax_number": "301-295-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8960 BROWN DR FL 1",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895405",
            "telephone_number": "301-319-4408",
            "fax_number": "301-295-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECHERIKUNNEL",
        "first_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-09-08",
        "certification_date": "2024-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101221278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0101221278",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.