Individual provider Active NPI

Theresa Michele Koester, PA

  • Surgical Physician Assistant
  • Washington, DC
National Provider Identifier
1962568402
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA030436 Issued in DC
Practice address
3301 New Mexico Ave NW, Suite 206
JHCP Surgery Foxhall
Washington, DC 20016-3622
Phone
(202) 895-1440
Fax
(202) 895-1448
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA030436 DC Primary

Addresses

Primary practice location

3301 New Mexico Ave NW, Suite 206
JHCP Surgery Foxhall
Washington, DC 20016-3622

Mailing address

3100 Wyman Park Dr
JHCP Business Office
Baltimore, MD 21211-2803
Phone (410) 338-3500

Other identifiers 2

IdentifierTypeStateIssuer
405951OtherMEDICARE GROUP PTAN
521467441OtherJHCP TAX ID

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
I20071023000230 DC Practitioner - Physician Assistant 8224124128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Rutgers New Jersey Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johns Hopkins UniversityGroup PAC ID 4981745098, 711 clinicians

Practice addresses (Care Compare)

5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone (202) 660-6500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA030436DCMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Sep 1, 2021 Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Oct 8, 2012 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Oct 8, 2012 Accepting new patients
Johns Hopkins University CurrentSince Sep 1, 2021 Accepting new patients

Locations

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

3301 New Mexico Ave NW
Ste 206
Washington, DC 20016
Phone (202) 895-1440

3100 Wyman Park Dr
Ofc
Baltimore, MD 21211

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

Interoperability endpoints

  • Direct secure messaging: tcano6765@direct.hopkinsmedicine.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1962568402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 WYMAN PARK DR",
            "address_2": "JHCP BUSINESS OFFICE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112803",
            "telephone_number": "410-338-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 NEW MEXICO AVE NW, SUITE 206",
            "address_2": "JHCP SURGERY FOXHALL",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200163622",
            "telephone_number": "202-895-1440",
            "fax_number": "202-895-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOESTER",
        "first_name": "THERESA",
        "middle_name": "MICHELE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "DC",
            "license": "PA030436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "405951",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JHCP TAX ID",
            "identifier": "521467441",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.