Individual provider Active NPI

Kimberley Ann Anderson, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Greenbelt, MD
National Provider Identifier
1922020767
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
D0034747 Issued in MD
Practice address
7500 Hanover Pkwy
Ste 104
Greenbelt, MD 20770-2010
Phone
(301) 220-0672
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X D0034747 MD Primary

Addresses

Primary practice location

7500 Hanover Pkwy
Ste 104
Greenbelt, MD 20770-2010

Mailing address

7500 Hanover Pkwy
Ste 104
Greenbelt, MD 20770-2010
Phone (301) 220-0672

Other identifiers 1

IdentifierTypeStateIssuer
010167200MedicaidMD

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
I20050728000413 DC Practitioner - Geriatric MedicinePractitioner - Physical Medicine and Rehabilitation 4688602956

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Physical Medicine and Rehabilitation
Education
Howard University College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HMS Medical Group I PAGroup PAC ID 6901885110, 2 clinicians

Practice addresses (Care Compare)

7500 Hanover Pkwy
Suite 105B
Greenbelt, MD 20770-2091
Phone (301) 593-8500

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Washington, DC, CCN 097024
  • Amedisys Home Health Care Home health agency, Largo, MD, CCN 217149

Merit-based Incentive Payment System (MIPS)

Final score
93.94 of 100Reported as individual
Quality
97.05
Improvement activities
40
Cost
81.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Medical Care Past Accepting new patients
Ishtiaq a Malik, MD PC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Elite Multi Specialty Clinic, LLC Past Accepting new patients

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 2

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1922020767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 HANOVER PKWY",
            "address_2": "STE 104",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702010",
            "telephone_number": "301-220-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 HANOVER PKWY",
            "address_2": "STE 104",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702010",
            "telephone_number": "301-220-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KIMBERLEY",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D0034747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010167200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.