Michael R Kletz, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101043722 Issued in VA

Practice address

1420 Spring Hill Rd
Suite 350
McLean, VA 22102-3006

Phone

(703) 790-9722

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA, DC2 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

Specialty

Allergy/Immunology

Education

Rutgers New Jersey Medical School, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yuill Black MD and Michael R Kletz MD PCGroup PAC ID 0749297919, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.77 of 100Reported as group

Quality

100

Improvement activities

40

Cost

89.22

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Yuill Black MD and Michael R Kletz MD PC

  • Specialist
  • McLean, VA
  • NPI 1700802097

  DC

  Medicare reassignment Care Compare group NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1972521623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 SPRING HILL RD STE 350",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023040",
            "telephone_number": "703-790-9722",
            "fax_number": "703-893-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 SPRING HILL RD",
            "address_2": "SUITE 350",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221023006",
            "telephone_number": "703-790-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLETZ",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101043722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "030002414",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6023312",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabel L Kelly, D.D.S.
• Kyung Suk Ki, ETC
• Annette B. Kielkopf, LPC, LMFT
• Bong K. Kim, MD
• Ho Jin Kim, M.D.
• Brian Mark Krakower, MD
• Peter Paul Kunec, DDS
• Lager Psychological SVCS
• Chong Lee, D.D.S
• David Wey Lee, M.D.

• Specialist in McLean, VA
• Providers in McLean, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.

Verify at the official NPI Registry.