MONICA AJINKYA MD
NPI 1023541620
Family Medicine in Washington, DC

Active since April 10, 2017PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
4414 BENNING RD NE, WASHINGTON, DC 20019(301) 699-7707 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2020, Apr 10, 2017 (2 updates tracked since 2017).

About Monica Ajinkya Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONICA AJINKYA MD (NPI 1023541620) is an individual family medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (MD048456) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Medstar Southern Maryland Hospital Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1023541620
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMONICA AJINKYACredential: MD
Location Address4414 BENNING RD NEWashington, DC 20019-4555
Mailing Address4414 Benning Rd NeWashington, DC 20019-4555
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 10, 2017
Last NPPES UpdateJuly 30, 20202 updates tracked since enumeration
NPPES CertifiedJuly 30, 2020
NPI 1023541620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in DC · MD048456
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4414 BENNING RD NE, Washington, DC 20019

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Monica Ajinkya Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284903329
PECOS Enrollment IDI20200908001315
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
88 services58 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
38 services21 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
36 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services16 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medstar Southern Maryland Hospital Center

Acute Care Hospitals · Clinton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210062
Location7503 Surratts RoadClinton, MD 20735 · Prince Georges County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20019 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
4414 BENNING RD NE
WASHINGTON, DC 20019
Family Medicine
4414 BENNING RD NE
WASHINGTON, DC 20019
Registered Nurse (Pediatrics)
4414 BENNING RD NE
WASHINGTON, DC 20019
Obstetrics & Gynecology
4414 BENNING RD NE
WASHINGTON, DC 20019
Family Medicine
4414 BENNING RD NE
WASHINGTON, DC 20019
Family Medicine
4414 BENNING RD NE
WASHINGTON, DC 20019
Family Medicine
4414 BENNING RD NE
WASHINGTON, DC 20019
Nurse Practitioner (Family)
4414 BENNING RD NE
WASHINGTON, DC 20019

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Monica Ajinkya's NPI number?

The NPI number for Monica Ajinkya is 1023541620. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Monica Ajinkya located?

Monica Ajinkya practices at 4414 Benning Rd NE, Washington, DC 20019. The listed phone number is (301) 699-7707.

What is Monica Ajinkya's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Monica Ajinkya enrolled in Medicare?

Yes. Monica Ajinkya is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Monica Ajinkya affiliated with any hospitals?

According to CMS data, Monica Ajinkya is affiliated with Medstar Southern Maryland Hospital Center.

When was this NPI record last updated?

The NPPES record for Monica Ajinkya was last updated on July 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.