Individual provider Active NPI

Adam R. Metwalli, MD

  • Urology Physician
  • Washington, DC
National Provider Identifier
1952499253
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD045414 Issued in DC
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230725000030 PA Practitioner - Urology 8820012248 Reassigns benefits to 1 organization
I20240716002040 NJ Practitioner - Urology 8820012248 Reassigns benefits to 1 organization

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
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

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

ProcedureNumber of procedures
Colonoscopy1-10
Prostate resection31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD045414DCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians Urology CurrentSince Jul 1, 2023 Accepting new patients
Kennedy Medical Group Practice, P.C. CurrentSince Jun 1, 2024 Accepting new patients
Kennedy Medical Group Practice PC CurrentSince Jun 1, 2024 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

  • FHIR API: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.