NPIMap

Organization Active NPI

Kinetic Cardiology Services

  • Cardiovascular Disease Physician
  • Potomac, MD
National Provider Identifier
1932985090
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
KINETIC CARDIOLOGY SERVICES
Practice address
9544 Newbridge Dr
Potomac, MD 20854-4480
Phone
(951) 760-1797
Fax
(855) 945-2027
NPI assigned
Sep 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Authorized official

Name
Mrs. Anna C Norwood, CRNPNPI 1306335492
Title
President
Phone
(703) 485-5689

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

9544 Newbridge Dr
Potomac, MD 20854-4480

Mailing address

9544 Newbridge Dr
Potomac, MD 20854-4480
Phone (951) 760-1797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, DE3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20231025000898 DC Part B Supplier - Clinic/Group Practice 3476909615 Receives reassigned benefits from 2 practitioners
Practice locations: Potomac, MD
O20231106003451 MD Part B Supplier - Clinic/Group Practice 3476909615 Receives reassigned benefits from 8 practitioners
Practice locations: Chestertown, MD
O20251031004073 DE Part B Supplier - Clinic/Group Practice 3476909615 Receives reassigned benefits from 1 practitioner
Practice locations: Georgetown, DE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1932985090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9544 NEWBRIDGE DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208544480",
            "telephone_number": "951-760-1797",
            "fax_number": "855-945-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9544 NEWBRIDGE DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208544480",
            "telephone_number": "951-760-1797",
            "fax_number": "855-945-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC CARDIOLOGY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "NORWOOD",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-485-5689",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.