Individual provider Active NPI

Kari S Kober, M.S., PA-C

  • Physician Assistant
  • Arlington, VA
National Provider Identifier
1912179961
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110002740 Issued in VA
Practice address
2445 Army Navy Dr
Arlington, VA 22206-2905
Phone
(703) 892-6500
Fax
(703) 892-1550
NPI assigned
Mar 31, 2008
Last updated
Oct 10, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110002740 VA Primary

Addresses

Primary practice location

2445 Army Navy Dr
Arlington, VA 22206-2905

Mailing address

2445 Army Navy Dr
Arlington, VA 22206-2905
Phone (703) 892-6500

Other identifiers 1

IdentifierTypeStateIssuer
0110002740OtherVALICENSE NO

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
I20080625000319 DC Practitioner - Physician Assistant 1052481066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Anderson Clinic LLCGroup PAC ID 2264331263, 75 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 892-6500

2800 S Shirlington Rd
Suite 1000
Arlington, VA 22206-3614

2800 S Shirlington Rd
Suite 1100
Arlington, VA 22206-3605

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110002740VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Clinic LLC CurrentSince Mar 24, 2008 Accepting new patients
Anderson Clinic LLC Physician Assistant CurrentSince Mar 24, 2008 Accepting new patients

Locations

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

2501 Parkers Ln
Ste 200
Alexandria, VA 22306
Phone (703) 769-8423

2445 Army Navy Dr
Arlington, VA 22206

2800 S Shirlington Rd
Ste 1000
Arlington, VA 22206

2800 S Shirlington Rd
Ste 1100
Arlington, VA 22206
Phone (703) 769-8423

10716 Richmond Hwy
Lorton, VA 22079
Phone (270) 389-2650

10716 Richmond Hwy
Ste 101
Lorton, VA 22079
Phone (703) 997-0930

Interoperability endpoints

  • Direct secure messaging: kkober@andersonclinic.emadirect.md

Organizations & group practices 3

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": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1912179961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 ARMY NAVY DR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222062905",
            "telephone_number": "703-892-6500",
            "fax_number": "703-892-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 ARMY NAVY DR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222062905",
            "telephone_number": "703-892-6500",
            "fax_number": "703-892-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBER",
        "first_name": "KARI",
        "middle_name": "S",
        "credential": "M.S., PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO",
            "identifier": "0110002740",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.