Individual provider Active NPI

Patricia Ellen Kapunan, M.D.

  • Pediatrics Physician
  • Washington, DC
National Provider Identifier
1932226032
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101242574 Issued in VA
Practice address
6900 Georgia Ave NW
Department of Pediatrics Walter Reed AMC
Washington, DC 20307-0001
Phone
(202) 782-6101
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101242574 VA Primary

Addresses

Primary practice location

6900 Georgia Ave NW
Department of Pediatrics Walter Reed AMC
Washington, DC 20307-0001

Mailing address

3100 Schofield Road, BLDG 1178
Fort Sam Houston Adolescent Medicine Clinic
Fort Sam Houston, TX 78234-6400
Phone (210) 808-2370

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
I20190627000501 DC Practitioner - Pediatric Medicine 6103150032 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101242574VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital CurrentSince Apr 30, 2019 Accepting new patients
Children'S Hospital Pediatrics CurrentSince Apr 30, 2019 Accepting new patients
Children'S Hospital Current Accepting new patients
Children'S Pediatricians & Associates, LLC Pediatrics Past Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

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.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1932226032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SCHOFIELD ROAD, BLDG 1178",
            "address_2": "FORT SAM HOUSTON ADOLESCENT MEDICINE CLINIC",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782346400",
            "telephone_number": "210-808-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 GEORGIA AVE NW",
            "address_2": "DEPARTMENT OF PEDIATRICS WALTER REED AMC",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203070001",
            "telephone_number": "202-782-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPUNAN",
        "first_name": "PATRICIA",
        "middle_name": "ELLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101242574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.