DR. NADIA VALERY KOVALCHUK MD
NPI 1346259512
Internal Medicine in Lanham, MD

Q: What is Nadia Kovalchuk's NPI number?

The NPI number for Nadia Kovalchuk is 1346259512. It was assigned to this individual provider in the NPPES registry on August 6, 2006.

Q: What is Nadia Kovalchuk's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Nadia Kovalchuk was last updated on April 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 06, 2006PECOS Enrolled

76.58/100

CMS Quality Rating

8118 GOOD LUCK RD, LANHAM, MD 20706(301) 552-8014 Get Directions Write a Review

NPPES record last updated: April 9, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 9, 2019, Jan 22, 2016 (2 updates tracked since 2016).

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About Dr. Nadia Valery Kovalchuk Md NPPES

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

DR. NADIA VALERY KOVALCHUK MD (NPI 1346259512) is an individual internal medicine provider in Lanham, Maryland, licensed in Maryland (D0058446) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Md Capital Region Medical Center, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1346259512

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. NADIA VALERY KOVALCHUKCredential: MD

Location Address8118 GOOD LUCK RDLanham, MD 20706-3595

Mailing Address3209 Geiger AveKensington, MD 20895-1802

Phone(301) 552-8014

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateAugust 6, 2006

Last NPPES UpdateApril 9, 20192 updates tracked since enumeration

✔ NPI 1346259512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in MD · D0058446✔ Licensed in NV · 9705✔ Licensed in CA · A73868

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

8118 GOOD LUCK RD, Lanham, MD 20706

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nadia Valery Kovalchuk Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163695040

PECOS Enrollment IDI20111110000049, I20190814001119

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

607 services389 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

346 services210 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

133 services130 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

58 services29 patients

Hospital Affiliations CMS Care Compare 4

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

University Of MD Capital Region Medical Center

Acute Care Hospitals · Upper Marlboro, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210003

Location901 North Harry S Truman DriveUpper Marlboro, MD 20774 · Prince Georges County

Emergency services Birthing friendly

Holy Cross Hospital

Acute Care Hospitals · Silver Spring, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number210004

Location1500 Forest Glen RoadSilver Spring, MD 20910 · Montgomery County

Birthing friendly

Sinai Hospital Of Baltimore

Acute Care Hospitals · Baltimore, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210012

Location2401 West Belvedere AvenueBaltimore, MD 21215 · Baltimore City County

Emergency services Birthing friendly

Adventist Healthcare White Oak Medical Center

Acute Care Hospitals · Silver Spring, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210016

Location11890 Healing WaySilver Spring, MD 20904 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20706 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

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

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.

76.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.56

Promoting Interoperability

100

Improvement Activities

Cost

48.54

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%73 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

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