Individual provider Active NPI

Stephen Leigh Kinney, MD

  • Adult Medicine Physician
  • Chevy Chase, MD
National Provider Identifier
1972611051
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
D0037617 Issued in MD
Practice address
2 Wisconsin Cir Ste 700
Chevy Chase, MD 20815-7007
Phone
(202) 368-6820
Fax
(202) 370-6945
NPI assigned
Aug 28, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X D0037617 MD Primary
Adult Medicine Physician 207QA0505X MD19758 DC

Addresses

Primary practice location

2 Wisconsin Cir Ste 700
Chevy Chase, MD 20815-7007

Mailing address

2 Wisconsin Cir Ste 700
Chevy Chase, MD 20815-7007
Phone (202) 368-6820

Other identifiers 3

IdentifierTypeStateIssuer
132190100MedicaidMD
CS9307842OtherDCDC CDS
M68191OtherMDCDS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, 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

Enrollment IDStateProvider typePAC IDDetails
I20090922000310 MD Practitioner - Family Practice 4880740562 Reassigns benefits to 1 organization
I20130610000082 DC Practitioner - Family Practice 4880740562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 Wisconsin Cir
Suite 700
Chevy Chase, MD 20815-7007
Phone (202) 368-6820

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD19758DCMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Home Primary Care, LLC CurrentSince Feb 21, 2013 Accepting new patients

Organizations & group practices 2

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1972611051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WISCONSIN CIR STE 700",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157007",
            "telephone_number": "202-368-6820",
            "fax_number": "202-370-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WISCONSIN CIR STE 700",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157007",
            "telephone_number": "202-368-6820",
            "fax_number": "202-370-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "STEPHEN",
        "middle_name": "LEIGH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MD",
            "license": "D0037617",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "DC",
            "license": "MD19758",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132190100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC CDS",
            "identifier": "CS9307842",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "M68191",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.