Individual provider Active NPI

Dhirgham Kshash, M.D.

  • Internal Medicine Physician
  • Alexandria, VA
National Provider Identifier
1912183682
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101249593 Issued in VA
Practice address
4010 Maury PL
Suite 8B
Alexandria, VA 22309-2340
Phone
(703) 665-0508
NPI assigned
Jan 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0066982 MD
Internal Medicine Physician 207R00000X 0101249593 VA Primary

Addresses

Primary practice location

4010 Maury PL
Suite 8B
Alexandria, VA 22309-2340

Mailing address

4010 Maury PL
Suite 8B
Alexandria, VA 22309-2340
Phone (703) 665-0508

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
I20080616000791 DC Practitioner - Internal Medicine 7012088248 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4010 Maury PL
Suite 8B
Alexandria, VA 22309-2340
Phone (703) 665-0508

Hospital & facility affiliations

  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101249593VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Medical Care LLC CurrentSince Oct 28, 2011 Accepting new patients
Express Healthcare, LLC CurrentSince Apr 1, 2011 Accepting new patients
Express Healthcare, LLC PastSince Apr 1, 2011 Accepting new patients

Locations

6201 Greenbelt Rd
Ste M16
Berwyn Heights, MD 20740
Phone (301) 441-4400

6201 Greenbelt Rd
Ste M15
Berwyn Heights, MD 20740
Phone (301) 441-1112

4010 Maury Pl
Ste 8B
Alexandria, VA 22309
Phone (703) 665-0508

Organizations & group practices 4

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": "1200096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1912183682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 MAURY PL",
            "address_2": "SUITE 8B",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223092340",
            "telephone_number": "703-665-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 MAURY PL",
            "address_2": "SUITE 8B",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223092340",
            "telephone_number": "703-665-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KSHASH",
        "first_name": "DHIRGHAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-12",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0066982",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101249593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.