Organization Active NPI

C L Kauffman MD PLLC

Doing business as Georgetown Dermpath

  • Dermatopathology (Pathology) Physician
  • Washington, DC
National Provider Identifier
1982853826
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
Legal business name
C L KAUFFMAN MD PLLC
Doing business as
Georgetown Dermpath
Practice address
3301 New Mexico Ave NW Ste 210
Washington, DC 20016-3627
Phone
(202) 363-9600
NPI assigned
Sep 16, 2008
Last updated
Nov 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Authorized official

Name
Catharine Lisa KauffmanNPI 1033118328
Title
MD
Phone
(202) 363-9600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X
Dermatopathology (Pathology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ZD0900X Primary

Addresses

Primary practice location

3301 New Mexico Ave NW Ste 210
Washington, DC 20016-3627

Mailing address

3301 New Mexico Ave NW Ste 210
Washington, DC 20016-3627
Phone (202) 363-9600

Other names 1

  • GEORGETOWN DERMPATH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081201000216 DC Part B Supplier - Clinic/Group Practice 9032279617 Receives reassigned benefits from 4 practitioners
Practice locations: Washington, DC
O20081201000338 MD Part B Supplier - Clinic/Group Practice 9032279617 Receives reassigned benefits from 4 practitioners
Practice locations: Easton, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
09D1092155Georgetown Dermpath3301 New Mexico Avenue NW Suite 210, Washington, DC 20016ComplianceAug 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
C L Kauffman MD PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3301 New Mexico Ave NW
Ste 210
Washington, DC 20016
Phone (202) 363-9600

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1982853826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 NEW MEXICO AVE NW STE 210",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200163627",
            "telephone_number": "202-363-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 NEW MEXICO AVE NW STE 210",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200163627",
            "telephone_number": "202-363-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C L KAUFFMAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "KAUFFMAN",
        "authorized_official_first_name": "CATHARINE",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "202-363-9600"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GEORGETOWN DERMPATH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GEORGETOWN DERMPATH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.