Organization Active NPI

Kumapley K Lartevi MD

Doing business as Convenient Clinic

  • Family Medicine Physician
  • Washington, DC
National Provider Identifier
1922690619
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KUMAPLEY K LARTEVI MD
Doing business as
Convenient Clinic
Practice address
1160 Varnum St NE Ste 307
Washington, DC 20017-2103
Phone
(240) 810-6000
Fax
(301) 889-9996
NPI assigned
Feb 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Kumapley Kofi Lartevi, MDNPI 1902037336
Title
Owner
Phone
(240) 810-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

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

Mailing address

1160 Varnum St NE Ste 307
Washington, DC 20017-2103
Phone (240) 810-6000

Other names 1

  • Convenient Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1922690619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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": "301-889-9996"
        },
        {
            "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": "301-889-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUMAPLEY K LARTEVI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "LARTEVI",
        "authorized_official_first_name": "KUMAPLEY",
        "authorized_official_middle_name": "KOFI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-810-6000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Convenient Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.