Individual provider Active NPI

Rose Chinasa Kajuru

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1932699808
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R164783 Issued in MD
Practice address
1328 Southern Ave SE Ste 217
Washington, DC 20032-4689
Phone
(301) 805-1103
NPI assigned
May 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R164783 MD Primary

Addresses

Primary practice location

1328 Southern Ave SE Ste 217
Washington, DC 20032-4689

Mailing address

1100 Consideration LN
Hyattsville, MD 20785-5808
Phone (301) 350-8238

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
I20211029000604 DC Practitioner - Nurse Practitioner 7416345194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mbi Health Services LLCGroup PAC ID 5294990453, 20 clinicians

Practice addresses (Care Compare)

4130 Hunt PL NE
Washington, DC 20019-3565
Phone (202) 388-4300

5140 Nannie Helen Burroughs Ave NE
Mbi Urgent Care
Washington, DC 20019-5509
Phone (202) 984-7310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R164783MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mbi Health Services LLC CurrentSince Oct 15, 2021 Accepting new patients

Locations

5140 Nannie Helen Burroughs Ave NE
Washington, DC 20019
Phone (202) 450-1066

1221 Taylor St NW
Washington, DC 20011
Phone (202) 464-9200

4130 Hunt Pl NE
Washington, DC 20019
Phone (202) 388-4320

7200 Wisconsin Ave
Ste 702
Bethesda, MD 20814
Phone (202) 215-5348

Organizations & group practices 1

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": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1932699808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CONSIDERATION LN",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207855808",
            "telephone_number": "301-350-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 SOUTHERN AVE SE STE 217",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324689",
            "telephone_number": "301-805-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAJURU",
        "first_name": "ROSE",
        "middle_name": "CHINASA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R164783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.