Kaustubh Subhash Yadwadkar (NPI# 1003064395, PAC ID# 5597983403) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1003064395 |
| PAC ID by PECOS | 5597983403 |
| Professional Enrollment ID | I20140905000727 |
| Full Name | Kaustubh Subhash Yadwadkar |
| Organization Legal Name | MEDSTAR MEDICAL GROUP RADIOLOGY LLC |
| Address |
3800 Reservoir Rd Nw Dept of Radiology Washington DC 20007-2113 |
| Phone Number | 2024443400 |
| Gender | M |
| Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1557589157 |
| Number of Group Practice Members | 124 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210018 | MEDSTAR MONTGOMERY MEDICAL CENTER |
| 090004 | MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL |
| 090011 | MEDSTAR WASHINGTON HOSPITAL CENTER |
| 210062 | MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12 Medstar Blvd, Bel Air, MD 21015-1798 | 4436255430 | PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER LLC |
| 13950 Brandywine Rd, Brandywine, MD 20613-5815 | 2405463000 | PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER LLC |
| 5454 Wisconsin Ave, Suite 1100, Chevy Chase, MD 20815-6925 | 3012159420 | PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER LLC |
| 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 3013737900 | MEDSTAR MEDICAL GROUP-SOUTHERN MARYLAND LLC |
| 12158 Central Ave, Suite 100, Mitchellville, MD 20721-1932 | 3014302750 | PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER LLC |
| 18101 Prince Philip Dr, Olney, MD 20832-1514 | 3017748950 | MEDSTAR MEDICAL GROUP RADIOLOGY LLC |
| 110 Irving St Nw, Dept of Rad Rm Ba94, Washington, DC 20010-3017 | 2028776429 | MEDSTAR MEDICAL GROUP RADIOLOGY LLC |
| 1120 20th St Nw, Washington, DC 20036-3406 | 2027488830 | PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER LLC |
| 1133 21st St Nw, Suite 115, Washington, DC 20036-3390 | 2027488830 | PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER LLC |
| 3301 New Mexico Ave Nw, 324 Medstar Georgetown Radiologyfoxhal, Washington, DC 20016-3613 | 2026861316 | MEDSTAR MEDICAL GROUP RADIOLOGY LLC |
| 3800 Reservoir Rd Nw, Dept of Radiology, Washington, DC 20007-2113 | 2024443400 | MEDSTAR MEDICAL GROUP RADIOLOGY LLC |
| Organization Legal Name | MEDSTAR MEDICAL GROUP RADIOLOGY LLC |
| Physicians | 121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Thomas | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Kimberly Smith | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 233 S 6th St, Apt 302, Philadelphia, PA 19106-3750 |
| Igor Trilisky | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 6600 N Whipple St, Chicago, IL 60645-4121 |
| Behnaz Goudarzi | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 4460 Doncaster Dr, Ellicott City, MD 21043-6797 |
| David C Moses | Nuclear Medicine | Medstar Medical Group Radiology LLC | 750 Chapel Ridge Rd, Timonium, MD 21093-1897 |
| Navid R Homayouni | Nuclear Medicine | Medstar Medical Group Radiology LLC | 70 I St Se, Apt 932, Washington, DC 20003-4833 |
| Brian P Swehla | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Angela Denise Levy | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 3800 Reservoir Rd Nw, Dept of Radiology, Washington, DC 20007-2113 |
| Sheil Y Shah | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 110 Irving St Nw, Dept of Rad Rm Ba94, Washington, DC 20010-3017 |
| Namik Haveric | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 110 Irving St Nw, Dept of Rad Rm Ba94, Washington, DC 20010-3017 |
| Street Address |
3800 RESERVOIR RD NW DEPT OF RADIOLOGY |
| City | WASHINGTON |
| State | DC |
| Zip | 20007-2113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jyotsna Mareedu | Internal Medicine | Mgmc LLC | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 |
| Sruthi Reddy | Internal Medicine | Mgmc LLC | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 |
| Monica Elston | Nurse Practitioner | Mgmc LLC | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 |
| Gloria J Bowles Johnson | Obstetrics/gynecology | Mgmc LLC | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 |
| Noshin Qaisrani | Internal Medicine | Mgmc LLC | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 |
| Jeffrey C Mai | Neurosurgery | Mgmc LLC | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 |
| Paula Pohlmann | Hematology/oncology | Mgmc LLC | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 |
| Jennifer Hilfiker | Physician Assistant | Mgmc LLC | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 |
| Jenni J Barnhizer | Nurse Practitioner | Mgmc LLC | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 |
| Robert Rubin | Nephrology | Medstar Georgetown Medical Center, Inc | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany A Roberts | Nurse Practitioner | Eric C. Marshall Md PC | 4859 Macarthur Blvd Nw, Washington, DC 20007-1564 |
| Danica L Rowe | Nurse Practitioner | Eric C. Marshall Md PC | 4859 Macarthur Blvd Nw, Washington, DC 20007-1564 |
| John Byrne | Orthopedic Surgery | Mgmc LLC | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 |
| Robert D Golden | Orthopedic Surgery | Mgmc LLC | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 |
| Amarin Sangkharat | Hospitalist | Mgmc LLC | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 |
| Angela Denise Levy | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 3800 Reservoir Rd Nw, Dept of Radiology, Washington, DC 20007-2113 |
| Catherine Okuliar | Internal Medicine | Mgmc LLC | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 |
| Karen Evans | Plastic and Reconstructive Surgery | Medstar Medical Group II LLC | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 |
| Shawn Chong | Physician Assistant | Mgmc LLC | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 |
| Domenic S Derobertis | Anesthesiology Assistant | Medstar Medical Group Anesthesiology LLC | 3800 Reservoir Rd Nw, Mmg Anesthesiology At Mguh, Washington, DC 20007-2113 |
| Find all physicians in zip 20007 | |||
| City | WASHINGTON |
| Zip Code | 20007 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | WASHINGTON + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Kaustubh Subhash Yadwadkar.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.