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

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: October 25, 2026.

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

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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

7

Medicare enrollment records show Nadia Kovalchuk reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
8200 GOOD LUCK RD
Lanham, MD 20706
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,150 clinicians in this Medicare group
Hospitalist
901 HARRY S. TRUMAN DRIVE
Largo, MD 20774
  • Reassigned Medicare billing, District of Columbia enrollment
  • 81 clinicians in this Medicare group
Hospitalist
1500 FOREST GLEN RD
Silver Spring, MD 20910
  • Reassigned Medicare billing, District of Columbia enrollment
  • 58 clinicians in this Medicare group
Critical Care Medicine
9106 PINE VIEW LN
Clinton, MD 20735
  • Reassigned Medicare billing, District of Columbia enrollment
  • 144 clinicians in this Medicare group
General Acute Care Hospital
2000 W BALTIMORE ST
Baltimore, MD 21223
  • Reassigned Medicare billing, Maryland enrollment
  • 664 clinicians in this Medicare group
Hospitalist
400 W SEVENTH ST
Frederick, MD 21701
  • Reassigned Medicare billing, Maryland enrollment
  • 270 clinicians in this Medicare group
Internal Medicine
106 BOW ST
Elkton, MD 21921
  • Reassigned Medicare billing, District of Columbia enrollment
  • 347 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Quality64.56
Promoting Interoperability100
Improvement Activities40
Cost48.54

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.

Obstetrics & Gynecology
8118 GOOD LUCK RD
LANHAM, MD 20706
Pathology (Anatomic Pathology & Clinical Pathology)
8118 GOOD LUCK RD
LANHAM, MD 20706
Substance Abuse Rehabilitation Facility
8118 GOOD LUCK RD
LANHAM, MD 20706
Internal Medicine
8118 GOOD LUCK RD
LANHAM, MD 20706
Physician Assistant (Medical)
8118 GOOD LUCK RD
LANHAM, MD 20706
Neurological Surgery
8118 GOOD LUCK RD
LANHAM, MD 20706
Nurse Practitioner (Psychiatric/Mental Health)
8118 GOOD LUCK RD
LANHAM, MD 20706
Emergency Medicine
8118 GOOD LUCK RD
LANHAM, MD 20706

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 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.

Where is Nadia Kovalchuk located?

Nadia Kovalchuk practices at 8118 Good Luck Rd, Lanham, MD 20706. The listed phone number is (301) 552-8014.

What is Nadia Kovalchuk's specialty?

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

Is Nadia Kovalchuk enrolled in Medicare?

Yes. Nadia Kovalchuk is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nadia Kovalchuk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nadia Kovalchuk reassigns Medicare benefits to 7 organizations: Emergency Medicine Associates P.A., P.C. (Lanham, MD), Adfinitas Health At Umcap, LLC (Largo, MD), Galen Inpatient Physicians PC (Silver Spring, MD), M Medical Group, Inc. (Clinton, MD), Sinai Hospital Of Baltimore, Inc. (Baltimore, MD) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nadia Kovalchuk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nadia Kovalchuk affiliated with any hospitals?

According to CMS data, Nadia Kovalchuk is affiliated with University Of MD Capital Region Medical Center, Holy Cross Hospital, Sinai Hospital Of Baltimore and Adventist Healthcare White Oak Medical Center.

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.