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PRABHJOT KAUR M.D.
NPI 1821418229
Internal Medicine in Mc Lean, VA

Active since April 24, 2014PECOS EnrolledAccepts Medicare Assignment
77.36/100
CMS Quality Rating
6862 ELM ST STE 600, MC LEAN, VA 22101(703) 992-0649(703) 992-6419 Get Directions Write a Review

NPPES record last updated: February 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2021, Aug 15, 2017 (2 updates tracked since 2017).

About Prabhjot Kaur M.d. NPPES

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

PRABHJOT KAUR M.D. (NPI 1821418229) is an individual internal medicine provider in Mc Lean, Virginia, licensed in Virginia (0101262905) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Virginia Hospital Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1821418229
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePRABHJOT KAURCredential: M.D.
Location Address6862 ELM ST STE 600Mc Lean, VA 22101-3862
Mailing Address6862 Elm St Ste 600Mc Lean, VA 22101-3862 · (703) 992-0649 · Fax (703) 992-6419
Phone(703) 992-0649
Fax(703) 992-6419
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 24, 2014
Last NPPES UpdateFebruary 7, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2021
✔ NPI 1821418229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101262905
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.
6862 ELM ST STE 600, Mc Lean, VA 22101
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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

Prabhjot Kaur M.d. 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 ID4385933985
PECOS Enrollment IDI20170921000095, I20240112001599
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 3

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 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.
159 services74 patients
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.
78 services46 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.
33 services33 patients

Hospital Affiliations CMS Care Compare

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

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490050
Location1701 North George Mason DriveArlington, VA 22205 · Arlington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22101 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.

77.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.82
Promoting Interoperability87
Improvement Activities40
Cost54.56

Other Providers at the Same Location NPPES 6

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

FELIX YI HO MA MD
Family Medicine
6862 ELM ST STE 600
MC LEAN, VA 22101
Fairfax County (703) 992-0649
KIMBERLY LYNN HOUDE
Internal Medicine
6862 ELM ST STE 600
MC LEAN, VA 22101
Fairfax County (703) 992-0649
KIM QUYEN NGUYEN FNP
Nurse Practitioner (Family)
6862 ELM ST STE 600
MC LEAN, VA 22101
Fairfax County (703) 992-0649
DR. CATHERINE BOINEST MD
Internal Medicine
6862 ELM ST STE 600
MC LEAN, VA 22101
Fairfax County (703) 992-0649
DR. ADRIANA N BACKUS D.C.
Chiropractor
6862 ELM ST STE 600
MC LEAN, VA 22101
Fairfax County (202) 674-0644
SHANI MARIE BROWN FNP-BC
Nurse Practitioner (Family)
6862 ELM ST STE 600
MC LEAN, VA 22101
Fairfax County (703) 992-0649

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 Prabhjot Kaur's NPI number?

The NPI number for Prabhjot Kaur is 1821418229. It was assigned to this individual provider in the NPPES registry on April 24, 2014.

Where is Prabhjot Kaur located?

Prabhjot Kaur practices at 6862 Elm St Ste 600, Mc Lean, VA 22101. The listed phone number is (703) 992-0649.

What is Prabhjot Kaur's specialty?

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

Is Prabhjot Kaur enrolled in Medicare?

Yes. Prabhjot Kaur 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 Prabhjot Kaur affiliated with any hospitals?

According to CMS data, Prabhjot Kaur is affiliated with Virginia Hospital Center.

When was this NPI record last updated?

The NPPES record for Prabhjot Kaur was last updated on February 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.