Kumapley Kofi Lartevi I, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD042176 Issued in DC

Practice address

1160 Varnum St NE Ste 307
Washington, DC 20017-2103

Phone

(240) 810-6000

Fax

(202) 621-8029

NPI assigned

Aug 3, 2009

Last updated

Nov 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Absolute Health & Wellness Solutions

  dba The Convenient Clinic

  • Urgent Care Clinic/Center
  • Washington, DC
  • NPI 1437660693
  NPD Authorized official
• Kumapley K Lartevi MD

  dba Convenient Clinic

  • Family Medicine Physician
  • Washington, DC
  • NPI 1922690619
  NPD Authorized official

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1902037336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 VARNUM ST NE STE 201",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172105",
            "telephone_number": "202-489-4146",
            "fax_number": "202-464-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE STE 307",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172103",
            "telephone_number": "240-810-6000",
            "fax_number": "202-621-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARTEVI",
        "first_name": "KUMAPLEY",
        "middle_name": "KOFI",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-03",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0077560",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD042176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayli Larson, PHARMD
• Emma Grace Larson, PHD
• Juliana Larson
• Katherine Larson, DPT
• Pat Larson, LICSW
• Larue Health and Wellness LLC
• Zykia Larue, DPT
• Olivia Mae Larussa, PA-C
• Jacquelyn Larusso, LGPC
• Kathryn E Larusso, MD

• Family Medicine Physician in Washington, DC
• Providers in Washington, DC by specialty
• Family Medicine Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.