<unavail> in Washington, DC - Medicare Internal Medicine

is a medicare enrolled primary clinic (Internal Medicine) in Washington, District Of Columbia. The current practice location for is 1647 Benning Rd Ne Ste 304, Washington, District Of Columbia. For appointments, you can reach them via phone at (301) 233-5054. The mailing address for is 1709 Kings Manor Dr, Bowie, Maryland and phone number is (301) 233-5054.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1639946635. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (301) 233-5054.

Contact Information


	1647 Benning Rd Ne Ste 304 Washington DC 20002-4588
	(301) 233-5054
	(301) 218-1908

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Internal Medicine
Location	1647 Benning Rd Ne Ste 304, Washington, District Of Columbia
Authorized Official Name and Position	Ismail M Kalokoh (CEO/PHYSICIAN)
Authorized Official Contact	3012335054
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1709 Kings Manor Dr Bowie MD 20721-2001 Ph: (301) 233-5054	1647 Benning Rd Ne Ste 304 Washington DC 20002-4588 Ph: (301) 233-5054

NPI Details:

NPI Number	1639946635
Provider Enumeration Date	12/08/2023
Last Update Date	03/18/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	0345789491
Medicare Enrollment ID	O20240903003202

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639946635	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	(* (Not Available))	Primary
2084A0401X	Psychiatry & Neurology - Addiction Medicine	(* (Not Available))	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Ismail Kalokoh
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1912959073 PECOS PAC ID: 3779626809 Enrollment ID: I20100211000278

Reviews and Comments

Internal Medicine in Washington, DC

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- Medicare Primary Care in Washington, DC