Active NPI
Adam R. Metwalli, MD
- Urology Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD045414
- Practice address
- 2041 Georgia Ave NW
Washington, DC 20060-3629 - Phone
- (202) 865-7720
- Fax
- (202) 865-1647
- NPI assigned
- Oct 11, 2006
- Last updated
- Oct 22, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | M2714 | TX | |
| Urology Physician | 208800000X | MD045414 | DC | Primary |
Addresses
Primary practice location
2041 Georgia Ave NW
Washington, DC 20060-3629
Mailing address
10700 Charter Dr
Suite 310
Columbia, MD 21044-3629
Phone (410) 715-1864
Other practice location 1
10700 Charter Dr
Suite 310
Columbia, MD 21044-3629
Phone (410) 715-1864
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Wake Forest University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1101 Chestnut St
Philadelphia, PA 19107-3619
Phone (800) 533-3669
1101 Market St
FL 19
Philadelphia, PA 19107-2926
111 S 11TH St
Philadelphia, PA 19107-4824
2201 Chapel Ave W
Cherry Hill, NJ 08002-2048
Phone (856) 513-4124
2301 S Broad St
Philadelphia, PA 19148-3542
Phone (215) 952-7444
3 Crescent Dr
Suite 100
Philadelphia, PA 19112-1016
Phone (215) 955-2392
925 Chestnut St
Philadelphia, PA 19107-4204
925 Chestnut St
Suite 3
Philadelphia, PA 19107-4216
Phone (215) 955-8874
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Prostate resection | 31 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD045414 | DC | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Urology | Current | Accepting new patients |
| Kennedy Medical Group Practice, P.C. | Current | Accepting new patients | |
| Kennedy Medical Group Practice PC | Current | Accepting new patients | |
| Chesapeake Urology Associates, LLC | Urology | Past | Accepting new patients |
| Jefferson University Physicians | Past | Accepting new patients | |
| Thomas Jefferson University Hospitals Inc | Past | Accepting new patients | |
| Suncoast Medical Group Inc | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Southwest Doctors PA | Past | Accepting new patients | |
| Kennedy Medical Group Practice P.C. | Past | Accepting new patients |
Locations
2201 Chapel Ave W
Cherry Hill, NJ 08002
Phone (856) 488-6500
2211 Chapel Ave W
Ste 301
Cherry Hill, NJ 08002
Phone (856) 665-2017
457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091
63 Kresson Rd
Ste 103
Cherry Hill, NJ 08034
Phone (856) 427-9004
354 Hurffville Crosskeys Rd
Bldg 2
Sewell, NJ 08080
Phone (856) 566-3190
1101 Chestnut St
#11
Philadelphia, PA 19107
1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836
3 Crescent Dr
Fl 2
Philadelphia, PA 19112
Phone (215) 503-7096
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
Interoperability endpoints
- https://api.platform.athenahealth.com/4066/brand/1/csg/1/fhir/r4
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Jefferson Health
- Family Medicine Physician
- Voorhees, NJ
- NPI 1952726796
-
dba Kennedy Health Alliance
- Family Medicine Physician
- Sewell, NJ
- NPI 1952848905
-
- Urology Physician
- Seaford, DE
- NPI 1043719123
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
dba Jefferson GI
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
-
dba Kennedy Health Alliance
- Family Medicine Physician
- West Deptford, NJ
- NPI 1952615981
-
- Preferred Provider Organization
- Houston, TX
- NPI 1871592097
-
- Primary Care Clinic/Center
- Houston, TX
- NPI 1376810341
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stratford, NJ
- NPI 1386746592
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1952499253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10700 CHARTER DR",
"address_2": "SUITE 310",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443629",
"telephone_number": "410-715-1864",
"fax_number": "410-581-1603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 GEORGIA AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200603629",
"telephone_number": "202-865-7720",
"fax_number": "202-865-1647"
}
],
"practiceLocations": [
{
"address_1": "10700 Charter Dr",
"address_2": "Suite 310",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MD",
"postal_code": "210443629",
"country_code": "US",
"telephone_number": "410-715-1864",
"fax_number": "410-581-1603",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "METWALLI",
"first_name": "ADAM",
"middle_name": "R.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "M2714",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "DC",
"license": "MD045414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.