KATHRYN RATANAVANICH D.O.
NPI 1801093919
Internal Medicine - Nephrology in Washington, DC
Quality Rating: 73.3 out of 100 score
NPI Status: Active since July 02, 2007
Contact Information
106 IRVING ST NW
SUITE 418
WASHINGTON, DC
ZIP 20010
Phone: (202) 882-2500
Fax: (202) 726-8076
- Individual
- Female
- Years of Experience 22
- Internal Medicine
- Nephrology
- PECOS Enrolled
- Accepts Medicare Approved Payment
About KATHRYN RATANAVANICH
Kathryn Ratanavanich is an internist established in Washington, District Of Columbia and her medical specialization is Internal Medicine with a focus in nephrology with more than 22 years of experience. The healthcare provider is registered in the NPI registry with number 1801093919 assigned on July 2007. The practitioner's primary taxonomy code is 207RN0300X with license number DO034186 (DC). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1801093919
- Provider Name
- KATHRYN RATANAVANICH D.O.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 106 IRVING ST NW SUITE 418 WASHINGTON, DC 20010
- Location Phone
- (202) 882-2500
- Location Fax
- (202) 726-8076
- Mailing Address
- 106 IRVING STREET SUITE 418 WASHINGTON, DC 20010
- Mailing Phone
- (202) 882-2500
- Medical School Name
- OTHER
- Graduation Year
- 2002
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-02-2007
- Last Update Date
- 03-11-2009
- Code Navigator
An internist like Kathryn Ratanavanich is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Kathryn Ratanavanich is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 73.3, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Nephrology
- Taxonomy Code
- 207RN0300X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- DO034186
- License State
- DC
- Taxonomy Description
- An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
PECOS Enrollment and Medicare Participation Status
Kathryn Ratanavanich is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9436287430
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20101025001199
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 73.3 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 73.27
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 60
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Clinician Services
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.
- 119
Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)
- 114
Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)
- 20
Dialysis services (1 physician visit per month), patient 20 years of age and older (HCPCS:90962)
- 15
Hemodialysis procedure with one physician evaluation (HCPCS:90935)
Hospital Affiliations
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kathryn Ratanavanich is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
HOLY CROSS HOSPITAL | 1500 FOREST GLEN ROAD SILVER SPRING, MD 20910 | (301) 754-7000 | Acute Care Hospitals | |
MEDSTAR MONTGOMERY MEDICAL CENTER | 18101 PRINCE PHILIP DRIVE OLNEY, MD 20832 | (301) 774-8771 | Acute Care Hospitals | |
SUBURBAN HOSPITAL | 8600 OLD GEORGETOWN ROAD BETHESDA, MD 20814 | (301) 896-2576 | Acute Care Hospitals | |
ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER | 9901 MEDICAL CENTER DRIVE ROCKVILLE, MD 20850 | (240) 826-6527 | Acute Care Hospitals | |
HOLY CROSS GERMANTOWN HOSPITAL | 19801 OBSERVATION DRIVE GERMANTOWN, MD 20876 | (301) 557-6020 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 8 | 0 | 1 | 0 | 9 | 3 | 9 | 1 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 8 | 0 | 1 | 0 | 9 | 6 | 9 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 8 + 0 + 1 + 0 + 9 + 6 + 9 + 2 + 24 = 61 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 61 = 9 | 9 |
The NPI number 1801093919 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1083611883 | DR. MARTIN P KOLSKY M.D. Individual | Ophthalmology | 106 IRVING ST NW SUITE 321 WASHINGTON, DC 20010 (202) 882-0200 |
1154315653 | ENRIQUE ANTOLIN ROBLES MD Individual | Internal Medicine | 106 IRVING ST NW SUITE 421-SOUTH WASHINGTON, DC 20010 (202) 723-6599 |
1275528234 | HERMAN GIST M.D. Individual | Internal Medicine (Cardiovascular Disease) | 106 IRVING ST NW SUITE 1500 NORTH TOWER WASHINGTON, DC 20010 (202) 829-2834 |
1043205701 | MARGARET L MONTGOMERY CNM Individual | Midwife | 106 IRVING ST NW SUITE 4700 NORTH WASHINGTON, DC 20010 (202) 877-7479 |
1841286689 | JAY ALAN OCUIN MD Individual | Internal Medicine (Nephrology) | 106 IRVING ST NW STE 418 WASHINGTON, DC 20010 (202) 882-2500 |
1427048941 | PAUL H SUGARBAKER MD Individual | Surgery (Surgical Oncology) | 106 IRVING ST NW SUITE N-3900 WASHINGTON, DC 20010 (202) 877-3908 |
1144210667 | MARK A STEVES MD Individual | Surgery (Surgical Oncology) | 106 IRVING ST NW SUITE N-3900 WASHINGTON, DC 20010 (202) 877-3912 |
1205826450 | DUPONT III PC Organization | Internal Medicine (Nephrology) | 106 IRVING ST NW SUITE 418 WASHINGTON, DC 20010 (202) 882-2500 |
1629053848 | ERIC ANTWI-DONKOR MD Individual | Internal Medicine (Nephrology) | 106 IRVING ST NW SUITE 418 WASHINGTON, DC 20010 (202) 882-2500 |
1376528026 | JAVAD KHALILZADEH MD Individual | Internal Medicine (Gastroenterology) | 106 IRVING ST NW SUITE 2000 WASHINGTON, DC 20010 (202) 288-7777 |
1104803329 | ELLEN MARIE WHITAKER M.D. Individual | Specialist | 106 IRVING ST NW SUITE 4400 NORTH WASHINGTON, DC 20010 (202) 877-6935 |
1265411227 | JENNIFER AYSCUE MD Individual | Surgery | 106 IRVING ST NW 2100 NORTH WASHINGTON, DC 20010 (202) 877-8484 |
1053391136 | DR. MARIE DRAOUI MD Individual | Obstetrics & Gynecology | 106 IRVING ST NW SUITE 4400 NORTH WASHINGTON, DC 20010 (202) 877-6933 |
1750361689 | DR. PAUL RAYMOND GIEGERICH D.P.M. Individual | Podiatrist | 106 IRVING ST NW SUITE 402 WASHINGTON, DC 20010 (202) 726-1800 |
1609856970 | DR. JAMES PAUL GIROLAMI D.P.M. Individual | Podiatrist | 106 IRVING ST NW SUITE 402 WASHINGTON, DC 20010 (202) 726-1800 |
1609846724 | DR. FITZGERALD BIRMINGHAM MD Individual | Internal Medicine | 106 IRVING ST NW 4200 WASHINGTON, DC 20010 (202) 877-5801 |
1538130745 | DR. MARY C MELANCON MD Individual | Obstetrics & Gynecology | 106 IRVING ST NW WASHINGTON, DC 20010 (202) 877-7000 |
1326019589 | DR. OSCAR MIMS MD Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 106 IRVING ST NW SUITE 3800N WASHINGTON, DC 20010 (202) 877-6093 |
1578535951 | DR. SCOTT MUANGMAN MD Individual | Obstetrics & Gynecology | 106 IRVING ST NW SUITE 4400 NORTH WASHINGTON, DC 20010 (202) 877-6933 |
1407828536 | SURGICAL ONCOLOGY ASSOCIATES PC Organization | Surgery (Surgical Oncology) | 106 IRVING ST NW SUITE N-3900 WASHINGTON, DC 20010 (202) 877-3912 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801093919, enumerated in the NPI registry as an "individual" on July 02, 2007
The provider is located at 106 Irving St Nw Suite 418 Washington, Dc 20010 and the phone number is (202) 882-2500
The provider's speciality is Internal Medicine with taxonomy code 207RN0300X with a focus in Nephrology
The provider has more than 22 years of experience.
Yes, as of May 03, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The most common procedures or services performed by this practitioner are: Dialysis services (2-3 physician visits per month), patient 20 years of age and older, Dialysis services (4 or more physician visits per month), patient 20 years of age and older, Dialysis services (1 physician visit per month), patient 20 years of age and older and Hemodialysis procedure with one physician evaluation.
The practitioner is affiliated to the following hospital(s): HOLY CROSS HOSPITAL, MEDSTAR MONTGOMERY MEDICAL CENTER, SUBURBAN HOSPITAL, ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER and HOLY CROSS GERMANTOWN HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on July 02, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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