Individual provider Active NPI

Daniel Safo Kantanka, FNP

  • Family Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1891326450
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R243013 Issued in MD
Practice address
10801 Lockwood Dr Ste 160
Silver Spring, MD 20901-1586
Phone
(240) 545-5721
NPI assigned
Jan 31, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R243013 MD Primary

Addresses

Primary practice location

10801 Lockwood Dr Ste 160
Silver Spring, MD 20901-1586

Mailing address

23 B St Apt 211
Laurel, MD 20707-7110
Phone (240) 505-2699

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200507002351 DC Practitioner - Nurse Practitioner 5496186447 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MD Behavioral Health LLCGroup PAC ID 8820445364, 12 clinicians

Practice addresses (Care Compare)

4000 Mitchellville Rd
Suite A414
Bowie, MD 20716-3142
Phone (301) 249-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R243013MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Care Center LLC CurrentSince Jan 1, 2022 Accepting new patients
MD Behavioral Health LLC CurrentSince Oct 24, 2025 Accepting new patients
Privia Care Center LLC CurrentSince Jan 1, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince Mar 30, 2020 Accepting new patients
Privia Medical Group, LLC CurrentSince Mar 30, 2020 Accepting new patients
Privia Medical Group, LLC PastSince May 11, 2025 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

4000 Mitchellville Rd
Ste A414
Bowie, MD 20716
Phone (301) 249-8100

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

101 Fleet St
Rockville, MD 20850
Phone (301) 298-1040

10801 Lockwood Dr
Ste 160
Silver Spring, MD 20901
Phone (301) 298-1040

7610 Carroll Ave
Ste 360
Takoma Park, MD 20912
Phone (301) 249-8100

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: daniel.kantanka.1@8042.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1891326450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 B ST APT 211",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207077110",
            "telephone_number": "240-505-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR STE 160",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011586",
            "telephone_number": "240-545-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTANKA",
        "first_name": "DANIEL",
        "middle_name": "SAFO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-31",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R243013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.