2021 Kaiser Permanente Medicare Advantage (HMO) …
Transcript of 2021 Kaiser Permanente Medicare Advantage (HMO) …
2020AR1841NOV
2021 Kaiser Permanente Medicare Advantage (HMO)
Provider Directory Addendum
November 2021These changes are current and effective as of October 25, 2021.
Please review the changes that have occurred to our provider network as of the effective date above. This document should be included with the complete 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory. For the most current provider listings, please visit kp.org/directory.
If you have questions, please contact Kaiser Permanente Member Services at 1-888-777-5536, TTY 711, seven days a week, 8 a.m. to 8 p.m.
Mid-Atlantic Permanente Medical Group primary care physicians at all 33 of our medical office buildings earned Level III recognition as Patient Centered Medical Homes (PCMH), the highest level of recognition possible as recognized by the National Committee for Quality Assurance®. Additionally, Mid-Atlantic Permanente Medical Group has more primary care physicians recognized by the National Committee for Quality Assurance than any other medical group in Maryland, Virginia or Washington, D.C. for the Diabetes Recognition Program (DRP), which is a clinical review of evidence-based care provided to patients with diabetes.
2 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Premier hospitals updates
February 2021 Premier hospitals – Updates
Maryland
Prince George’s County
Doctors Community Hospital–MD8118 Good Luck RoadLanham Seabrook, MD 20706Main number: 1-301-552-8118
Doctors Community Hospital-MD is still in our Medicare Advantage network, but is no longer a premier hospital. To learn more about premier hospitals, visit kp.org/premierhospitals.
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 3
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Maryland
Gaithersburg Medical Center 655 Watkins Mill Road, Gaithersburg, MD 20879
1-240-632-4000
Additions Terminations
Internal medicineNandakishore Nemarugommula, MDNoelia Rodriguez, MD
Kensington Medical Center 10810 Connecticut Ave., Kensington, MD 20895
1-301-929-7100
Additions Terminations
Internal medicineNan Wang, MD
Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774
1-301-618-5500
Additions Terminations
ENT/OtolaryngologyJacqueline A. Wulu, MDAccepting new patients: Yes
ENT/OtolaryngologyWilliam C. Gray, MD
OphthalmologyMalav Joshi, MDAccepting new patients: Yes
Kaiser Permanente providers – Additions and Terminations
November 2021 Kaiser Permanente providers – Additions and Terminations
4 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Maryland (continued)
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Prince George’s Medical Center 6525 Belcrest Road, Hyattsville, MD 20782
1-301-209-6000
Additions Terminations
Internal medicineAntora Yazdan, DOAccepting new patients: Yes
South Baltimore County Medical Center 1701 Twin Springs Road, Halethorpe, MD 21227
1-410-737-5000
Additions Terminations
Oncology–radiation/Radiation oncologyTejan Diwanji, MDAccepting new patients: Yes
Towson Medical Center 1447 York Road, Suite 100, Lutherville, MD 21093
1-410-339-5500
Additions Terminations
PodiatryTomika Coleman, DPM
White Marsh Medical Center 4920 Campbell Blvd., Nottingham, MD 21236
1-410-933-7600
Additions Terminations
PsychiatrySafiyyah H. Abdul-Rahman, MDAccepting new patients: Yes
November 2021 Kaiser Permanente providers – Additions and Terminations
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 5
Maryland (continued)
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Woodlawn Medical Center 7141 Security Blvd., Baltimore, MD 21244
1-443-663-6000
Additions Terminations
OphthalmologyTheresa Retue Kramer, MD
Virginia
Tysons Corner Medical Center 8008 Westpark Drive, McLean, VA 22102
1-703-287-6400
Additions Terminations
Spine surgeryFloreana Kebaish, MDAccepting new patients: Yes
Woodbridge Medical Center 14139 Potomac Mills Road, Woodbridge, VA 22192
1-703-490-8400
Additions Terminations
Internal medicineRon Martin Menorca, MDAccepting new patients: Yes
Internal medicineJonathan Justin Chou, MD
November 2021 Kaiser Permanente providers – Additions and Terminations
6 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Maryland
Kensington Medical Center 10810 Connecticut Ave., Kensington, MD 20895
1-301-929-7100
Additions Terminations
Family practiceSahra Hossainzadha, MDAccepting new patients: Yes
Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774
1-301-618-5500
Additions Terminations
Oncology–medical, surgicalMonica Peravali, MDAccepting new patients: Yes
Internal medicineMalori Monet Callender, MD
PsychiatryRene Jovanie Stokes, MD
Marlow Heights Medical Center 5100 Auth Way, Suitland, MD 20746
1-301-702-5000
Additions Terminations
Family practiceJency Thomas, MD
October 2021 Kaiser Permanente providers – Additions and Terminations
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 7
Maryland (continued)
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
South Baltimore County Medical Center 1701 Twin Springs Road, Halethorpe, MD 21227
1-410-737-5000
Additions Terminations
EndocrinologySamim Enayat, MDAccepting new patients: Yes
Family practiceMaria Wiisichong Madah, MDAccepting new patients: No
White Marsh Medical Center 4920 Campbell Blvd., Nottingham, MD 21236
1-410-933-7600
Additions Terminations
PsychiatryElliott Mason Gauer, DO
Virginia
Alexandria Medical Center 3000 Potomac Ave., Alexandria, VA 22305
1-703-721-6300
Additions Terminations
Family practiceMaya Sukkari, MDAccepting new patients: Yes
October 2021 Kaiser Permanente providers – Additions and Terminations
8 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Virginia (continued)
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Fair Oaks Medical Center 12255 Fair Lakes Parkway, Fairfax, VA 22033
1-703-934-5700
Additions Terminations
Family practiceJaspreet S. Ahuja, DOAccepting new patients: Yes
Internal medicineArsalan Zaeem Khawaja, MD
Fredericksburg Medical Center 1201 Hospital Drive, Fredericksburg, VA 22401
1-540-368-3700
Additions Terminations
Gynecology, Ob/GynAnh Truong Butz, MDAccepting new patients: Yes
Springfield Medical Center 6501 Loisdale Court, Springfield, VA 22150
1-703-922-1000
Additions Terminations
Plastic surgeryChun H. Rhim, MD
October 2021 Kaiser Permanente providers – Additions and Terminations
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 9
Virginia (continued)
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Tysons Corner Medical Center 8008 Westpark Drive, McLean, VA 22102
1-703-287-6400
Additions Terminations
Oncology–medical, surgicalArchana B. Jadhav, MDAccepting new patients: Yes
Plastic surgeryChun H. Rhim, MD
PulmonologyJoshpaul Singh Jolly, MDAccepting new patients: Yes
Woodbridge Medical Center 14139 Potomac Mills Road, Woodbridge, VA 22192
1-703-490-8400
Additions Terminations
Internal medicineAthreya J. Tata, MDAccepting new patients: Yes
Internal medicineAlan H. Wynn, MD
October 2021 Kaiser Permanente providers – Additions and Terminations
10 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
District of Columbia
Kaiser Permanente Capitol Hill Medical Center 700 Second St. NE, Washington, DC 20002
1-202-346-3000
Additions Terminations
GastroenterologyVictor Ciofoaia, MD
Maryland
Camp Springs Medical Center 6104 Old Branch Ave., Temple Hills, MD 20748
1-301-702-6100
Additions Terminations
Internal medicineDonique A. Cross, MDAccepting new patients: Yes
Gaithersburg Medical Center 655 Watkins Mill Road, Gaithersburg, MD 20879
1-240-632-4000
Additions Terminations
DermatologyKara Yakish, MD
EndocrinologyJanet Myra Noel, MD
September 2021 Kaiser Permanente providers – Additions and Terminations
Maryland (continued)
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 11
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Kensington Medical Center 10810 Connecticut Ave., Kensington, MD 20895
1-301-929-7100
Additions Terminations
Family practiceTasnim Azim, DOAccepting new patients: Yes
Internal medicineDaren Yang, DOAccepting new patients: Yes
Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774
1-301-618-5500
Additions Terminations
ENT/OtolaryngologyJeffrey Ian Glicksman, MDAccepting new patients: Yes
EndocrinologyJanet Myra Noel, MD
Orthopedic surgeryEric Yakish, MD
Spine SurgeryEric Yakish, MD
Marlow Heights Medical Center 5100 Auth Way, Suitland, MD 20746
1-301-702-5000
Additions Terminations
Family practiceVernesha Montgomery, MDAccepting new patients: Yes
Gynecology, Ob/GynJessica Ijeoma Ubanyionwu, MDAccepting new patients: No
September 2021 Kaiser Permanente providers – Additions and Terminations
Maryland (continued)
12 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Prince George’s Medical Center 6525 Belcrest Road, Hyattsville, MD 20782
1-301-209-6000
Additions Terminations
Internal medicineHanadi Shamkhani, MD
South Baltimore County Medical Center 1701 Twin Springs Road, Halethorpe, MD 21227
1-410-737-5000
Additions Terminations
Family practiceAdrienne Victoria Lafleur, MDAccepting new patients: Yes
Internal medicineAbigail Mandelah Hamilton, MDAccepting new patients: Yes
Woodlawn Medical Center 7141 Security Blvd., Baltimore, MD 21244
1-443-663-6000
Additions Terminations
Oncology–medical, surgicalEmily K. Fay, MDAccepting new patients: Yes
September 2021 Kaiser Permanente providers – Additions and Terminations
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 13
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Virginia
Burke Medical Center 5999 Burke Commons Road, Burke, VA 22015
1-703-249-7700
Additions Terminations
Family practiceFarah Ansari, MDAccepting new patients: Yes
Sarah A. Chacko, MDAccepting new patients: Yes
Family practiceNader Hussein Silver, MD
Fair Oaks Medical Center 12255 Fair Lakes Parkway, Fairfax, VA 22033
1-703-934-5700
Additions Terminations
OphthalmologyKatherine McCabe, MDAccepting new patients: Yes
Falls Church Medical Center 201 North Washington St., Falls Church, VA 22046
1-703-237-4000
Additions Terminations
GastroenterologyNeena Malik, MDAccepting new patients: Yes
Tysons Corner Medical Center 8008 Westpark Drive, McLean, VA 22102
1-703-287-6400
Additions Terminations
NeurologyJoseph Choi, MDAccepting new patients: Yes
General surgeryShani O.M. Belgrave-Heath, MD
September 2021 Kaiser Permanente providers – Additions and Terminations
14 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
District of Columbia
Northwest DC Medical Office Building 2301 M St. NW, Washington, DC 20037
1-202-419-6200
Additions Terminations
Internal medicineSilvia Picciafuoco, MD
Maryland
Abingdon Medical Center 3400 Box Hill Corporate Center Dr., Suite 100, Abingdon, MD 21009
1-410-515-5440
Additions Terminations
GastroenterologyDamodar Pandey, MD
Kaiser Permanente Baltimore Harbor Medical Center 815 E. Pratt St., Baltimore, MD 21202
1-410-637-5700
Additions Terminations
Family practiceAllison Rague, MD
Kaiser Permanente Frederick Medical Center 7190 Crestwood Blvd., Frederick, MD 21703
1-240-529-1700
Additions Terminations
Family practiceHansel E. Lee, MD
Gynecology, Ob/GynMichele Lynn Eno, MD
August 2021 Kaiser Permanente providers – Additions and Terminations
Maryland (continued)
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 15
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Gaithersburg Medical Center 655 Watkins Mill Road, Gaithersburg, MD 20879
1-240-632-4000
Additions Terminations
Internal medicineKatrina Hsieh, DOAccepting new patients: No
Internal medicineSo Yeon Chung, MD
Kensington Medical Center 10810 Connecticut Ave., Kensington, MD 20895
1-301-929-7100
Additions Terminations
Internal medicineUma B. Prasad, MD
Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774
1-301-618-5500
Additions Terminations
Internal medicineKamani N. Karandana, MD
Marlow Heights Medical Center 5100 Auth Way, Suitland, MD 20746
1-301-702-5000
Additions Terminations
Gynecology, Ob/GynMechele Silva, MD
August 2021 Kaiser Permanente providers – Additions and Terminations
Maryland (continued)
16 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Prince George’s Medical Center 6525 Belcrest Road, Hyattsville, MD 20782
1-301-209-6000
Additions Terminations
Internal medicineJuliana Llano, MD
Silver Spring Medical Center 12201 Plum Orchard Drive, Silver Spring, MD 20910
1-301-572-1000
Additions Terminations
Family practiceDimitri Yayi Coupet, MD
South Baltimore County Medical Center 1701 Twin Springs Road, Halethorpe, MD 21227
1-410-737-5000
Additions Terminations
GastroenterologyDamodar Pandey, MD
Towson Medical Center 1447 York Road, Suite 100, Lutherville, MD 21093
1-410-339-5500
Additions Terminations
GastroenterologyDamodar Pandey, MD
August 2021 Kaiser Permanente providers – Additions and Terminations
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 17
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Virginia
Burke Medical Center 5999 Burke Commons Road, Burke, VA 22015
1-703-249-7700
Additions Terminations
Family practiceNagui N. Saleh, MD
PsychiatryVeronica Slootsky, MD
Colonial Forge Medical Center 125 Hospital Center Blvd, Suite 110, Stafford, VA 22554
1-540-602-6500
Additions Terminations
General surgeryAnne Stuart Roberts, MD
Fair Oaks Medical Center 12255 Fair Lakes Parkway, Fairfax, VA 22033
1-703-934-5700
Additions Terminations
General surgeryAnne Stuart Roberts, MD
Internal medicinePaul H. McClain, MD
OphthalmologyJames W. Slack, MD
August 2021 Kaiser Permanente providers – Additions and Terminations
Virginia (continued)
18 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Falls Church Medical Center 201 North Washington St., Falls Church, VA 22046
1-703-237-4000
Additions Terminations
Gynecology, Ob/GynSimon Arn Wilson, MD
Springfield Medical Center 6501 Loisdale Court, Springfield, VA 22150
1-703-922-1000
Additions Terminations
General surgeryAnne Stuart Roberts, MD
Tysons Corner Medical Center 8008 Westpark Drive, McLean, VA 22102
1-703-287-6400
Additions Terminations
General surgeryAnne Stuart Roberts, MD
August 2021 Kaiser Permanente providers – Additions and Terminations
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 19
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Maryland
Kensington Medical Center 10810 Connecticut Ave., Kensington, MD 20895
1-301-929-7100
Additions Terminations
Internal medicineKriti Kalra, MD
Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774
1-301-618-5500
Additions Terminations
Gynecology, Ob/GynDiana G. Soffer, MD
South Baltimore County Medical Center 1701 Twin Springs Road, Halethorpe, MD 21227
1-410-737-5000
Additions Terminations
Internal medicineWanda J. Wicks, MD
Towson Medical Center 1447 York Road, Suite 100, Lutherville, MD 21093
1-410-339-5500
Additions Terminations
Internal medicineDione Chua, MD
July 2021 Kaiser Permanente providers – Additions and Terminations
20 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Virginia
Burke Medical Center 5999 Burke Commons Road, Burke, VA 22015
1-703-249-7700
Additions Terminations
PsychiatryErik Frost, MD
Falls Church Medical Center 201 North Washington St., Falls Church, VA 22046
1-703-237-4000
Additions Terminations
PsychiatryLeonardo Cubillos, MD
Woodbridge Medical Center 14139 Potomac Mills Road, Woodbridge, VA 22192
1-703-490-8400
Additions Terminations
Gynecology, Ob/GynBeverly J. Waddell-Jiggetts, MD
July 2021 Kaiser Permanente providers – Additions and Terminations
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 21
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
District of Columbia
Kaiser Permanente Capitol Hill Medical Center 700 Second St. NE, Washington, DC 20002
1-202-346-3000
Additions Terminations
OphthalmologyBriggs Boynton Bralliar, MD
Maryland
Camp Springs Medical Center 6104 Old Branch Ave., Temple Hills, MD 20748
1-301-702-6100
Additions Terminations
Internal medicineDilasha Katwal, MD
Gaithersburg Medical Center 655 Watkins Mill Road, Gaithersburg, MD 20879
1-240-632-4000
Additions Terminations
Gynecology, Ob/GynFarzaneh Lolachi Sabi, MDAccepting new patients: Yes
Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774
1-301-618-5500
Additions Terminations
Orthopedic surgeryJohn Tis, MDAccepting new patients: Yes
ENT/OtolaryngologyMargot Elizabeth Clasquin, MD
June 2021 Kaiser Permanente providers – Additions and Terminations
Maryland (continued)
22 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Marlow Heights Medical Center 5100 Auth Way, Suitland, MD 20746
1-301-702-5000
Additions Terminations
Family practiceVeena S. Mysore, MD
Shady Grove Medical Center 1396 Piccard Drive, Rockville, MD 20850
1-301-548-5700
Additions Terminations
Family practiceSandra L. Swann, MD
Silver Spring Medical Center 12201 Plum Orchard Drive, Silver Spring, MD 20910
1-301-572-1000
Additions Terminations
PsychiatryLorenzo Miguel Santos Gutierrez, MD
Woodlawn Medical Center 7141 Security Blvd., Baltimore, MD 21244
1-443-663-6000
Additions Terminations
PsychiatryHelen Bellete, MD
June 2021 Kaiser Permanente providers – Additions and Terminations
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 23
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Virginia
Manassas Medical Center 10701 Rosemary Drive, Manassas, VA 20109
1-703-257-3000
Additions Terminations
Internal medicineMolly Clare Davis, MD
June 2021 Kaiser Permanente providers – Additions and Terminations
24 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
District of Columbia
Kaiser Permanente Capitol Hill Medical Center 700 Second St. NE, Washington, DC 20002
1-202-346-3000
Additions Terminations
Orthopedic surgeryThomas Ivan Krisztinicz, MD
Spine surgeryThomas Ivan Krisztinicz, MD
Maryland
Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774
1-301-618-5500
Additions Terminations
Orthopedic surgeryMin Lu, MDAccepting new patients: Yes
Towson Medical Center 1447 York Road, Suite 100, Lutherville, MD 21093
1-410-339-5500
Additions Terminations
GastroenterologyFariha Hanif Ramay, MDAccepting new patients: Yes
May 2021 Kaiser Permanente providers – Additions and Terminations
Maryland (continued)
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 25
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Woodlawn Medical Center 7141 Security Blvd., Baltimore, MD 21244
1-443-663-6000
Additions Terminations
OphthalmologyBeth Erin Cunningham, MDAccepting new patients: Yes
Virginia
Springfield Medical Center 6501 Loisdale Court, Springfield, VA 22150
1-703-922-1000
Additions Terminations
DermatologyBrittany P. Smirnov, DOAccepting new patients: Yes
Tysons Corner Medical Center 8008 Westpark Drive, McLean, VA 22102
1-703-287-6400
Additions Terminations
Orthopedic surgeryThomas Ivan Krisztinicz, MD
Spine surgeryThomas Ivan Krisztinicz, MD
May 2021 Kaiser Permanente providers – Additions and Terminations
26 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Maryland
Gaithersburg Medical Center 655 Watkins Mill Road, Gaithersburg, MD 20879
1-240-632-4000
Additions Terminations
NeurologyRichard John McCarthy, MDAccepting new patients: Yes
Silver Spring Medical Center 12201 Plum Orchard Drive, Silver Spring, MD 20910
1-301-572-1000
Additions Terminations
Family practiceAlisha Tuteja, MDAccepting new patients: Yes
Virginia
Colonial Forge Medical Center 125 Hospital Center Blvd, Suite 110, Stafford, VA 22554
1-540-602-6500
Additions Terminations
UrologySteven P. Guarnaccia, MD
Fair Oaks Medical Center 12255 Fair Lakes Parkway, Fairfax, VA 22033
1-703-934-5700
Additions Terminations
UrologySteven P. Guarnaccia, MD
April 2021 Kaiser Permanente providers – Additions and Terminations
Virginia (continued)
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 27
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Tysons Corner Medical Center 8008 Westpark Drive, McLean, VA 22102
1-703-287-6400
Additions Terminations
OphthalmologyKim Jiramongkolchai, MDAccepting new patients: Yes
UrologySteven P. Guarnaccia, MD
April 2021 Kaiser Permanente providers – Additions and Terminations
28 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Maryland
Kaiser Permanente Frederick Medical Center 7190 Crestwood Blvd., Frederick, MD 21703
1-240-529-1700
Additions Terminations
Family practiceColeen L. Johnson, MDAccepting new patients: Yes
Gaithersburg Medical Center 655 Watkins Mill Road, Gaithersburg, MD 20879
1-240-632-4000
Additions Terminations
Allergy and ImmunologyBetty W. Chang, MD
Kensington Medical Center 10810 Connecticut Ave., Kensington, MD 20895
1-301-929-7100
Additions Terminations
Oncology–radiation/Radiation oncologyAmy Marie Gillis, MDAccepting new patients: Yes
Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774
1-301-618-5500
Additions Terminations
Allergy and ImmunologyBetty W. Chang, MD
March 2021 Kaiser Permanente providers – Additions and Terminations
Maryland (continued)
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 29
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Silver Spring Medical Center 12201 Plum Orchard Drive, Silver Spring, MD 20910
1-301-572-1000
Additions Terminations
PsychiatryMaria Lourdes Castineira Garcia, MD
Virginia
Colonial Forge Medical Center 125 Hospital Center Blvd, Suite 110, Stafford, VA 22554
1-540-602-6500
Additions Terminations
Oncology–medical, surgicalAndrei Marconescu, MD
PulmonologyBarry J. Decker, MD
Tysons Corner Medical Center 8008 Westpark Drive, McLean, VA 22102
1-703-287-6400
Additions Terminations
NeurologyDavid Charles Lipps, MD
Oncology–medical, surgicalAndrei Marconescu, MD
PulmonologyBarry J. Decker, MD
March 2021 Kaiser Permanente providers – Additions and Terminations
Virginia (continued)
30 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Woodbridge Medical Center 14139 Potomac Mills Road, Woodbridge, VA 22192
1-703-490-8400
Additions Terminations
Gynecology, Ob/GynJohn Devlin Long Jr., MD
March 2021 Kaiser Permanente providers – Additions and Terminations
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 31
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
District of Columbia
Kaiser Permanente Capitol Hill Medical Center 700 Second St. NE, Washington, DC 20002
1-202-346-3000
Additions Terminations
Gynecology, Ob/GynAshley Danielle Thompson, MD
Maryland
Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774
1-301-618-5500
Additions Terminations
PulmonologyNilika Chaudhary, MDAccepting new patients: Yes
Virginia
Burke Medical Center 5999 Burke Commons Road, Burke, VA 22015
1-703-249-7700
Additions Terminations
Internal medicineKatherine Elizabeth Rutledge, MDAccepting new patients: Yes
February 2021 Kaiser Permanente providers – Additions and Terminations
Virginia (continued)
32 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Reston Medical Center 1890 Metro Center Drive, Reston, VA 20190
1-703-709-1500
Additions Terminations
Internal medicineEsther Rhee, DOAccepting new patients: Yes
DermatologyMargaret Bowden Kopelman, MD
Springfield Medical Center 6501 Loisdale Court, Springfield, VA 22150
1-703-922-1000
Additions Terminations
Family practiceFrances Ding, DOAccepting new patients: Yes
Internal medicineSarah Hamed Elfeky, MD
Tysons Corner Medical Center 8008 Westpark Drive, McLean, VA 22102
1-703-287-6400
Additions Terminations
Internal medicineCarma Yaghi, MDAccepting new patients: Yes
PodiatryMark Louis Miller, DPM
February 2021 Kaiser Permanente providers – Additions and Terminations
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 33
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Maryland
Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774
1-301-618-5500
Additions Terminations
DermatologyNina Sabzevari, DOAccepting new patients: Yes
Infectious diseasesSaadia J. Griffith-Howard, MD
Woodlawn Medical Center 7141 Security Blvd., Baltimore, MD 21244
1-443-663-6000
Additions Terminations
Oncology hematologyJanet Cooper, MD
Virginia
Colonial Forge Medical Center 125 Hospital Center Blvd, Suite 110, Stafford, VA 22554
1-540-602-6500
Additions Terminations
EndocrinologySandeep Kaur Dhaliwal, MD
Reston Medical Center 1890 Metro Center Drive, Reston, VA 20190
1-703-709-1500
Additions Terminations
Internal medicineSeonae Pak, MD
January 2021 Kaiser Permanente providers – Additions and Terminations
Virginia (continued)
34 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Springfield Medical Center 6501 Loisdale Court, Springfield, VA 22150
1-703-922-1000
Additions Terminations
Family practiceKelly Brown, DO
Tysons Corner Medical Center 8008 Westpark Drive, McLean, VA 22102
1-703-287-6400
Additions Terminations
Orthopedic surgeryHaroon Hussain, MDAccepting new patients: Yes
Internal medicineTahanie Osman, MD
January 2021 Kaiser Permanente providers – Additions and Terminations
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 35
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Maryland
Marlow Heights Medical Center 5100 Auth Way, Suitland, MD 20746
1-301-702-5000
Additions Terminations
Gynecology, Ob/GynKimone A. Powell, MD
South Baltimore County Medical Center 1701 Twin Springs Road, Halethorpe, MD 21227
1-410-737-5000
Additions Terminations
CardiologyJohn Seth Golden, MD
GastroenterologyArpan H. Patel, MD
Towson Medical Center 1447 York Road, Suite 100, Lutherville, MD 21093
1-410-339-5500
Additions Terminations
Family practiceSabaina Arshad, MD
GastroenterologyArpan H. Patel, MD
December 2020 Kaiser Permanente providers – Additions and Terminations
36 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Maryland (continued)
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
White Marsh Medical Center 4920 Campbell Blvd., Nottingham, MD 21236
1-410-933-7600
Additions Terminations
PsychiatryIngrid Chelagat Orinda, MD
Virginia
Colonial Forge Medical Center 125 Hospital Center Blvd, Suite 110, Stafford, VA 22554
1-540-602-6500
Additions Terminations
CardiologyJohn Seth Golden, MD
Falls Church Medical Center 201 North Washington St., Falls Church, VA 22046
1-703-237-4000
Additions Terminations
Internal medicineBryan Matthew Senisi, DO
Springfield Medical Center 6501 Loisdale Court, Springfield, VA 22150
1-703-922-1000
Additions Terminations
Internal medicineBethune Grindley, MD
December 2020 Kaiser Permanente providers – Additions and Terminations
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 37
Virginia (continued)
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Tysons Corner Medical Center 8008 Westpark Drive, McLean, VA 22102
1-703-287-6400
Additions Terminations
CardiologyJohn Seth Golden, MD
Orthopedic surgeryDonald Avram Saroff, MD
Woodbridge Medical Center 14139 Potomac Mills Road, Woodbridge, VA 22192
1-703-490-8400
Additions Terminations
Family practiceFetnat Faye Masri-Imadi, MD
December 2020 Kaiser Permanente providers – Additions and Terminations
38 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
District of Columbia
Kaiser Permanente Capitol Hill Medical Center 700 Second St. NE, Washington, DC 20002
1-202-346-3000
Additions Terminations
GastroenterologyVictor Ciofoaia, MDAccepting new patients: Yes
Maryland
Annapolis Medical Center 888 Bestgate Road, Annapolis, MD 21401
1-410-571-7300
Additions Terminations
Family practiceMing Y. Li, MDAccepting new patients: Yes
Gynecology, Ob/GynJulita A. Lett, MDAccepting new patients: Yes
Kaiser Permanente Baltimore Harbor Medical Center 815 E. Pratt St., Baltimore, MD 21202
1-410-637-5700
Additions Terminations
Gynecology, Ob/GynPaul Paetow, MDAccepting new patients: Yes
November 2020 Kaiser Permanente providers – Additions and Terminations
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 39
Maryland (continued)
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Gaithersburg Medical Center 655 Watkins Mill Road, Gaithersburg, MD 20879
1-240-632-4000
Additions Terminations
DermatologyCourtney Jade Ensslin, MDAccepting new patients: Yes
Internal medicineLeszek Karowiec, MDNevi Patel, MD
Internal medicineSahar Aslani Jahan, MDAccepting new patients: Yes
Chris Chung-Hyun Park, MDAccepting new patients: Yes
Ghazaleh Rahbari, MDAccepting new patients: Yes
Ke Sun, MDAccepting new patients: Yes
NeurologyNatalia Maria Llanes, MDAccepting new patients: Yes
Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774
1-301-618-5500
Additions Terminations
CardiologyRuth Tamrat, MDAccepting new patients: Yes
Chronic pain managementKamran Akhavan Saraf, MD
General surgeryShirley Xing, DODermatology
Omolara Mojisola Olowoyeye, MDAccepting new patients: Yes
ENT/OtolaryngologyMargot Elizabeth Clasquin, MDAccepting new patients: Yes
William C. Gray, MDAccepting new patients: Yes
(continued)
November 2020 Kaiser Permanente providers – Additions and Terminations
40 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Maryland (continued)
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774
1-301-618-5500
Additions Terminations
GastroenterologyFolabomi Christianah Ajanaku, MDAccepting new patients: Yes
Gynecology, Ob/GynDalila Harvey-Granger, MDAccepting new patients: Yes
Tina Musa, DOAccepting new patients: Yes
Internal medicineKymia Khosrowani, MDAccepting new patients: Yes
William Edwin Towne, MDAccepting new patients: Yes
OphthalmologyRonak Sandeep Patel, MDAccepting new patients: Yes
PulmonologyEdward Kenneth Len, MDAccepting new patients: Yes
Nancy MacGarvey, MDAccepting new patients: Yes
UrologyMichael Alan Fenstermaker, MDAccepting new patients: Yes
Todd Brian Tescher, MDAccepting new patients: Yes
November 2020 Kaiser Permanente providers – Additions and Terminations
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 41
Maryland (continued)
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Marlow Heights Medical Center 5100 Auth Way, Suitland, MD 20746
1-301-702-5000
Additions Terminations
GeneticsJasmin Roohi, MDAccepting new patients: Yes
Pim Suwannarat, MDAccepting new patients: Yes
Gynecology, Ob/GynRohini Boddu, MDShalanda R. Webb, MD
North Arundel Medical Center 7670 Quarterfield Road, Glen Burnie, MD 21061
1-410-508-7650
Additions Terminations
Gynecology, Ob/GynRubiliatu Abiola Akinwande, MDAccepting new patients: Yes
OphthalmologySupriya Goyal, MD
Prince George’s Medical Center 6525 Belcrest Road, Hyattsville, MD 20782
1-301-209-6000
Additions Terminations
Gynecology, Ob/GynKathleen D. Solomon, MDAccepting new patients: Yes
Internal medicineJihyun Ann Jun, DOAccepting new patients: Yes
Chioma Ohalete, DOAccepting new patients: Yes
November 2020 Kaiser Permanente providers – Additions and Terminations
42 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Maryland (continued)
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Silver Spring Medical Center 12201 Plum Orchard Drive, Silver Spring, MD 20910
1-301-572-1000
Additions Terminations
Gynecology, Ob/GynJessica Marie Traylor, MDAccepting new patients: Yes
South Baltimore County Medical Center 1701 Twin Springs Road, Halethorpe, MD 21227
1-410-737-5000
Additions Terminations
General surgeryCatherine Skelley Denkler, MDAccepting new patients: Yes
Gynecology, Ob/GynCynthia Clunie Cesaire, MDAccepting new patients: Yes
Nika Vinson, MDAccepting new patients: No
Towson Medical Center 1447 York Road, Suite 100, Lutherville, MD 21093
1-410-339-5500
Additions Terminations
DermatologyJi Qi, MDAccepting new patients: Yes
ENT/OtolaryngologyNidhi Gupta, MDAccepting new patients: Yes
Gynecology, Ob/GynAlyssa R. Hammer, MDAccepting new patients: Yes
November 2020 Kaiser Permanente providers – Additions and Terminations
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 43
Maryland (continued)
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
White Marsh Medical Center 4920 Campbell Blvd., Nottingham, MD 21236
1-410-933-7600
Additions Terminations
PsychiatryElliott Mason Gauer, DOAccepting new patients: Yes
Woodlawn Medical Center 7141 Security Blvd., Baltimore, MD 21244
1-443-663-6000
Additions Terminations
OphthalmologyEva Devience, MDAccepting new patients: Yes
Theresa Retue Kramer, MDAccepting new patients: Yes
Benjamin Rubin, MDAccepting new patients: Yes
OphthalmologySupriya Goyal, MD
Virginia
Colonial Forge Medical Center 125 Hospital Center Blvd, Suite 110, Stafford, VA 22554
1-540-602-6500
Additions Terminations
EndocrinologySandeep Kaur Dhaliwal, MDAccepting new patients: Yes
November 2020 Kaiser Permanente providers – Additions and Terminations
44 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Virginia (continued)
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Falls Church Medical Center 201 North Washington St., Falls Church, VA 22046
1-703-237-4000
Additions Terminations
ENT/OtolaryngologyTawfiq Khoury, MDAccepting new patients: Yes
PsychiatryLeonardo Cubillos, MDAccepting new patients: Yes
Fredericksburg Medical Center 1201 Hospital Drive, Fredericksburg, VA 22401
1-540-368-3700
Additions Terminations
Gynecology, Ob/GynMatthew J. Werner, MD
Manassas Medical Center 10701 Rosemary Drive, Manassas, VA 20109
1-703-257-3000
Additions Terminations
Internal medicineBeverly J. Pfister, MD
Reston Medical Center 1890 Metro Center Drive, Reston, VA 20190
1-703-709-1500
Additions Terminations
Gynecology, Ob/GynGeannie M. Bennett, MDAccepting new patients: Yes
November 2020 Kaiser Permanente providers – Additions and Terminations
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 45
Virginia (continued)
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Springfield Medical Center 6501 Loisdale Court, Springfield, VA 22150
1-703-922-1000
Additions Terminations
GastroenterologyMitchell Kang, DOAccepting new patients: Yes
Gynecology, Ob/GynNahed Mahmoud Ezmerli, MDAccepting new patients: Yes
Tysons Corner Medical Center 8008 Westpark Drive, McLean, VA 22102
1-703-287-6400
Additions Terminations
CardiologyMichael John McArdle, MDAccepting new patients: Yes
General surgeryShirley Xing, DO
DermatologyAnnalise Abiodun, MDAccepting new patients: Yes
General surgeryShani O.M. Belgrave-Heath, MDAccepting new patients: Yes
Gynecology, Ob/GynEunice J. Lee, MDAccepting new patients: Yes
PodiatryVirginia E. Parks, DPMAccepting new patients: Yes
November 2020 Kaiser Permanente providers – Additions and Terminations
46 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
January 2021 Network primary care providers – Additions
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Maryland
Prince George’s County
Family practice
Debra Adkins Vereen, MDPROVIDER 317610Greater Baden Brandywine7450 Albert RoadBrandywine, MD 206131-301-888-2233Accepting New Patients: Yes
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 47
November 2020 Network specialists – Additions
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Vascular surgery
Virginia
Fredericksburg City
Naren Gupta, MDVascular Institute of Virginia LLC1440 Central Park Blvd.Suite 108Fredericksburg, VA 224011-703-763-5224Accepting New Patients: Yes
Prince William County
Naren Gupta, MDVascular Institute of Virginia LLC14085 Crown CourtWoodbridge, VA 221931-703-763-5224Accepting New Patients: Yes
48 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
November 2021 Network primary care providers – Terminations
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Family practice
Maryland
Baltimore County
John R. Brown, DO
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 49
October 2021 Network primary care providers – Terminations
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Internal medicine
Maryland
Anne Arundel County
Barry I. Bercovitz, MD
Baltimore County
Todd L. Burstyn, MD
50 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
September 2021 Network primary care providers – Terminations
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Internal medicine
Maryland
Baltimore County
Norberto Machiran, MD
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 51
August 2021 Network primary care providers – Terminations
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Family practice
Maryland
Baltimore County
Joseph P. Connelly Jr., MD
52 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
June 2021 Network primary care providers – Terminations
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Internal medicine
Maryland
Baltimore County
Agaton H. Escalante, MD
Harford County
Agaton H. Escalante, MD
Montgomery County
Antonio G. Uy, MD
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 53
May 2021 Network primary care providers – Terminations
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Internal medicine
Maryland
Baltimore County
Elena D. Ghiaur, MD
54 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
April 2021 Network primary care providers – Terminations
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Family practice
Maryland
Baltimore County
Sohail M. Qarni, MD
Frederick County
William H. Convey, MD
Virginia
Spotsylvania County
Tony J. Fiore, DO
Internal medicine
Maryland
Baltimore City
Richard S. Rees, MD
Prince George’s County
Tasneem Malik, MD
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 55
March 2021 Network primary care providers – Terminations
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Family practice
Maryland
Baltimore County
Sylvia S. Chang, MD
56 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
December 2020 Network primary care providers – Terminations
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Internal medicine
Virginia
Stafford County
James M. Desimone, MD
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 57
November 2020 Network primary care providers – Terminations
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Family practice
Maryland
Carroll County
Peter G. Uggowitzer, MD
Charles County
Paul E. Pritchett Sr., MD
Howard County
Christine A. Marino, MD
Virginia
Fairfax County
Kathleen Langan, MD
Loudoun County
Kathleen Langan, MD
Internal medicine
Maryland
Baltimore County
Paul Foster, MD
Prince George’s County
Jenny Y. Moy, MD
58 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
November 2021 Network specialists – Terminations
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Cardiology
District of Columbia
Joseph A. Quash Jr., MD
Maryland
Montgomery County
Lauren A. Weber, MD
Chiropractor
Maryland
Prince George’s County
Louis S. Crivelli II, DC
Virginia
Arlington County
Louis J. Ziegler III, DC
Fairfax County
Lloyd C. Holmes Jr., DC
Dermatology
Maryland
Baltimore City
Bernard Cohen, MD
Baltimore County
Bernard Cohen, MD
Virginia
Fairfax City
Zetta M. Fayos, MD
ENT/Otolaryngology
Maryland
Baltimore City
Howard S. Hessan, MDRalph P. Tufano, MD
Baltimore County
Karl W. Diehn, MDRalph P. Tufano, MD
Howard County
Howard S. Hessan, MD
Gastroenterology
Maryland
Baltimore City
Christopher C. Fain, DO
Montgomery County
Alan N. Schulman, MD
Gynecology, Ob/Gyn
Maryland
Baltimore City
Jean R. Anderson, MD
Baltimore County
Jean R. Anderson, MD
Nephrology
Maryland
Prince George’s County
Jay A. Ocuin, MD
Oncology— medical, surgical
Maryland
Anne Arundel County
Harvinder Singh, MD
Ophthalmology
Maryland
Baltimore City
Malin L. Howard, MDTimothy J. McCulley, MDChristina R. Prescott, MD
Baltimore County
Christina R. Prescott, MD
Harford County
Christina R. Prescott, MD
Physiatry, rehabilitative medicine
Maryland
Anne Arundel County
Susan H. Zimmerman, MD
November 2021 Network specialists – Terminations
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 59
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Psychiatry
Maryland
Baltimore City
Debbie L. Weaver, MD
Baltimore County
Edward J. Swanton, MD
Harford County
Edward J. Swanton, MD
Pulmonology
Maryland
Anne Arundel County
Ajay Behari, MDMark S. Gosnell, MDFrancois J. Gregoire, MD
Baltimore City
Emily P. Brigham, MD
Baltimore County
Ajay Behari, MDElizabeth Cifra, MDMark S. Gosnell, MDFrancois J. Gregoire, MDDaniel A. Grove, MDJason J. Marx, MDAnita Naik, DOPeter J. Sloane, MDStuart R. Willes, MD
Harford County
Ajay Behari, MDAnita Naik, DO
Virginia
Fairfax County
John B. Cleary, MD
Urology
Maryland
Anne Arundel County
Reynaldo P. Madrinan, MD
Baltimore City
Trinity J. Bivalacqua, MDReynaldo P. Madrinan, MDPhillip M. Pierorazio, MD
Baltimore County
Trinity J. Bivalacqua, MDReynaldo P. Madrinan, MDAndrew M. Shapiro, MD
Carroll County
Reynaldo P. Madrinan, MDAndrew M. Shapiro, MD
Harford County
Reynaldo P. Madrinan, MD
Howard County
Reynaldo P. Madrinan, MD
Montgomery County
Reynaldo P. Madrinan, MD
Prince George’s County
Reynaldo P. Madrinan, MD
60 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
October 2021 Network specialists – Terminations
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Allergy and Immunology
Maryland
Baltimore City
Adhuna Chhabra, MD
Chiropractor
Maryland
Anne Arundel County
Lawrence S. Saez, DC
Virginia
Loudoun County
David M. Schleifer, DC
Prince William County
Melissa J. Anderson, DC
Dermatology
District of Columbia
Debra A. Coats-Walton, MD
ENT/Otolaryngology
Maryland
Montgomery County
James C. Denneny III, MD
Virginia
Fairfax County
Timothy J. Egan, MD
Gastroenterology
Maryland
Baltimore City
Ellen M. Stein, MD
Baltimore County
Ellen M. Stein, MD
General surgery
Maryland
Baltimore City
Jason D. Prescott, MD
Gynecology, Ob/Gyn
Maryland
Baltimore City
Carla M. Bossano, MD
Baltimore County
Samuel Akman, MDCarla M. Bossano, MDMaria C. Facadio Antero, MDRobert F. Pegues, MD
Neurology
Maryland
Baltimore City
Andrew L. Mammen, MDHorea Rus, MD
Neurosurgery
Maryland
Baltimore City
Sheng-Fu L. Lo, MD
Virginia
Arlington County
Abraham Kader, MD
Oncology— medical, surgical
Maryland
Baltimore City
Josephine L. Feliciano, MD
Ophthalmology
Maryland
Baltimore City
Richard J. Kolker, MD
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 61
October 2021 Network specialists – Terminations
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Orthopedic surgery
Maryland
Baltimore City
Erik A. Hasenboehler, MDCasey J. Humbyrd, MDChristopher T. LeBrun, MD
Baltimore County
Christopher T. LeBrun, MD
Psychiatry
Maryland
Baltimore City
Adam I. Kaplin, MDThomas W. Koenig, MDCrystal C. Watkins, MD
Baltimore County
Carlos L. Azcarate, MDMarsden H. McGuire, MDCrystal C. Watkins, MD
Urology
Maryland
Anne Arundel County
Julio Chong, MD
62 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
September 2021 Network specialists – Terminations
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Cardiology
Maryland
Baltimore City
Richard M. Pomerantz, MD
Prince George’s County
Patrick J. Devine, MD
Cardiothoracic surgery
Maryland
Baltimore City
Juan A. Sanchez, MD
Chiropractor
Maryland
Frederick County
George D. Beech, DC
Montgomery County
George D. Beech, DC
Virginia
Loudoun County
Taylor A. Taylor, DC
General surgery
Maryland
Baltimore County
Gustavo E. Bello Vincentelli, MD
Elizabeth A. Dovec, MD
Prince George’s County
Rene L. Gelber, MD
Gynecology, Ob/Gyn
Maryland
Prince George’s County
Elliece S. Smith, MD
Nephrology
Maryland
Baltimore County
Jennifer L. Eras, MD
Oncology— medical, surgical
Maryland
Anne Arundel County
Karl M. Kasamon, MD
Howard County
Karl M. Kasamon, MD
Ophthalmology
District of Columbia
Paul T. Gavaris, MD
Virginia
Fairfax County
Paul T. Gavaris, MD
Orthopedic surgery
Virginia
Fredericksburg City
Kurt R. Larson, MD
Spotsylvania County
Kurt R. Larson, MD
Podiatry
Maryland
Anne Arundel County
Sarah Malik, DPM
Baltimore County
Sarah Malik, DPM
September 2021 Network specialists – Terminations
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 63
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Psychiatry
Maryland
Baltimore County
Jill Midthune, MD
Urology
Maryland
Charles County
Joseph G. Colonna, MD
64 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
August 2021 Network specialists – Terminations
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Chiropractor
Virginia
Loudoun County
Miok Hyoun, DC
Prince William County
Curtis L. Reinkemeyer, DC
Dermatology
Maryland
Frederick County
Mary E. Kim, MD
Gastroenterology
Maryland
Montgomery County
Richard L. Gelfand, MD
Gynecology, Ob/Gyn
Maryland
Prince George’s County
Davoud Assili, MD
Nephrology
Maryland
Baltimore County
Folatomi Agbe-Davies, MD
Neurology
Maryland
Baltimore City
Rebecca F. Gottesman, MD
Virginia
Arlington County
Eric W. Czander, MDFaye R. Rosenbaum, MD
Oncology— medical, surgical
Maryland
Baltimore City
Jonathan D. Powell, MD
Frederick County
Umera A. Thebo, MD
Ophthalmology
Maryland
Anne Arundel County
Rohit R. Lakhanpal, MD
Baltimore City
Rohit R. Lakhanpal, MD
Baltimore County
Rohit R. Lakhanpal, MD
Carroll County
Rohit R. Lakhanpal, MD
Montgomery County
Jonathan S. Lyons, MD
Psychiatry
Maryland
Prince George’s County
Jemima A. Kankam, MD
Urology
Maryland
Baltimore County
Leslie M. Abramowitz, MD
Carroll County
Leslie M. Abramowitz, MD
Frederick County
Mohammed M. Mohiuddin, MD
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 65
July 2021 Network specialists – Terminations
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Chiropractor
District of Columbia
Eric J. Doyle, DC
Maryland
Calvert County
Daniel E. Collins, DC
Virginia
Fairfax County
Hae Yong Chung, DCKate E. Petersen, DC
Loudoun County
Eric J. Doyle, DCErin E. Houseknecht, DC
Dermatology
Virginia
Fairfax County
Caitlin Fink, DO
ENT/Otolaryngology
Maryland
Baltimore City
Enzo Cosentino, MD
Gastroenterology
Maryland
Baltimore County
Christopher Y. Kim, MD
General surgery
Maryland
Baltimore City
George M. Meyer, MD
Howard County
George M. Meyer, MD
Gynecology, Ob/Gyn
Maryland
Montgomery County
Pablo V. Renart, MD
Neurology
Maryland
Baltimore City
Vinay Chaudhry, MD
Baltimore County
Vinay Chaudhry, MD
Neurosurgery
Maryland
Baltimore City
Daniele Rigamonti, MDHector E. Soriano-Baron, MD
Montgomery County
Daniele Rigamonti, MD
Ophthalmology
District of Columbia
Anna Park, MD
Maryland
Anne Arundel County
David R. Watt, MD
Montgomery County
David R. Watt, MD
Prince George’s County
David R. Watt, MD
Psychiatry
Maryland
Baltimore City
James C. Harris Jr., MDJeanne C. Serafin, MD
Pulmonology
Maryland
Baltimore City
David J. Feller-Kopman, MD
Baltimore County
Jasvinder Singh, MD
66 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
June 2021 Network specialists – Terminations
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Cardiology
Maryland
Montgomery County
Steven K. Kaufman, MD
Chiropractor
Virginia
Fairfax City
Kenneth P. May, DC
Fairfax County
Kenneth P. May, DCSteven A. Snyder, DC
Loudoun County
Craig P. John, DC
Neurology
Virginia
Prince William County
Aysegul C. Soyer, MD
Oncology— medical, surgical
Maryland
Montgomery County
Linda M. Burrell, MD
Oncology—Radiation/ Radiation oncology
Virginia
Alexandria City
Susan E. Boylan, MD
Fairfax County
Susan E. Boylan, MD
Loudoun County
Susan E. Boylan, MD
Prince William County
Susan E. Boylan, MD
Rheumatology
Maryland
Baltimore City
Peter A. Holt, MD
Urology
Maryland
Prince George’s County
Harbhajan S. Ajrawat, MD
Virginia
Arlington County
Jeremy Kelley, DO
Vascular surgery
Maryland
Montgomery County
Shan-E-Ali Haider, MDRichard A. Silva, MD
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 67
May 2021 Network specialists – Terminations
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Chiropractor
Maryland
Baltimore County
John J. Davidson III, DCBrian S. Keen, DC
Frederick County
Ian Newman, DC
Harford County
John J. Davidson III, DC
Virginia
Fairfax County
Jennifer L. Baird, DC
Gynecology, Ob/Gyn
Maryland
Baltimore County
Arthur W. Nauman, MD
Neurology
Maryland
Baltimore City
Kathryn R. Wagner, MD
Montgomery County
Irina A. Skopets, MD
Neurosurgery
Maryland
Baltimore City
Charles J. Lancelotta, MD
Howard County
Charles J. Lancelotta, MD
Prince George’s County
Charles J. Lancelotta, MD
Oncology— medical, surgical
Maryland
Baltimore County
Madhu Chaudhry, MD
Ophthalmology
Maryland
Baltimore City
Abraham Auerbach, MD
Baltimore County
Abraham Auerbach, MD
Howard County
Abraham Auerbach, MD
Physiatry, rehabilitative medicine
Maryland
Baltimore City
Irfan M. Elahi, DO
Baltimore County
Irfan M. Elahi, DO
Howard County
Irfan M. Elahi, DO
68 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
April 2021 Network specialists – Terminations
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Allergy and Immunology
Maryland
Baltimore County
David B. Golden, MDJonathan Matz, MD
Harford County
David B. Golden, MDJonathan Matz, MD
Cardiology
Virginia
Fairfax County
Hamid Taheri, MD
Chiropractor
Maryland
Baltimore County
Barbara L. Downes, DC
Dermatology
Virginia
Loudoun County
Tinatin Gotsiridze, MD
Gastroenterology
Maryland
Baltimore City
Anthony N. Kalloo, MDVivek Kumbhari, MD
Baltimore County
Anthony N. Kalloo, MDVivek Kumbhari, MDLisa S. Pichney, MD
General surgery
District of Columbia
Colette M. Magnant, MD
Maryland
Baltimore City
Christopher L. Wolfgang, MD
Gynecology, Ob/Gyn
Maryland
Anne Arundel County
Joy’El B. Ballard, MDMark Repka, MD
Baltimore City
Jairo E. Garcia, MD
Baltimore County
Jairo E. Garcia, MD
Infectious diseases
Maryland
Baltimore City
Charles B. Holmes, MD
Nephrology
Maryland
Baltimore City
Daphne H. Knicely, MD
Baltimore County
Shoaib Ali, MD
Howard County
Shoaib Ali, MD
Virginia
Fairfax County
Robert C. Mackow, MDJenny J. Nazzal, MD
April 2021 Network specialists – Terminations
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 69
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Neurosurgery
Maryland
Baltimore City
Frederick A. Lenz, MDMichael Lim, MDDaniel M. Sciubba, MD
Baltimore County
Daniel M. Sciubba, MD
Montgomery County
Michael Lim, MD
Oncology— medical, surgical
Maryland
Anne Arundel County
Peter R. Graze, MD
Baltimore City
Adrian G. Murphy, MDJarushka Naidoo, MD
Ophthalmology
Maryland
Baltimore City
Leon Strauss, MD
Baltimore County
Stan L. Coleman, MD
Montgomery County
Frank A. Spellman, MD
Prince George’s County
Frank A. Spellman, MD
Virginia
Fredericksburg City
Frank A. Spellman, MD
Loudoun County
Frank A. Spellman, MD
Prince William County
Frank A. Spellman, MD
Pulmonology
Maryland
Baltimore City
Mark T. Jennings, MDNaresh M. Punjabi, MD
Rheumatology
Maryland
Prince George’s County
Edger V. Potter, MD
Vascular surgery
Maryland
Howard County
Bara Zuhaili, MD
Virginia
Fairfax County
Homayoun A. Hashemi, MD
70 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
March 2021 Network specialists – Terminations
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Chiropractor
Maryland
Montgomery County
Walter P. Van Den Valentyne, DC
ENT/Otolaryngology
Maryland
Baltimore City
Charles W. Cummings, MD
Gastroenterology
Maryland
Montgomery County
Michael J. Schwartz, MD
General surgery
Virginia
Alexandria City
Timothy R. Shaver, MD
Fairfax County
Timothy R. Shaver, MD
Loudoun County
Timothy R. Shaver, MD
Gynecology, Ob/Gyn
Maryland
Baltimore City
Tochi O. Ibekwe, MD
Infectious diseases
Maryland
Baltimore City
Jennifer L. Holmes, MD
Neurology
Maryland
Baltimore City
Ned C. Sacktor, MD
Ophthalmology
District of Columbia
Samuel Stoleru, MD
Maryland
Baltimore City
Michael V. Boland, MD
Baltimore County
Michael V. Boland, MD
Harford County
Michael V. Boland, MD
Montgomery County
Marcus Colyer, MD
Virginia
Fairfax County
Marcus Colyer, MD
Loudoun County
Marcus Colyer, MD
Prince William County
Marcus Colyer, MD
Orthopedic surgery
Maryland
Baltimore City
Sameer Dixit, MD
Baltimore County
Sameer Dixit, MD
Plastic surgery
Maryland
Anne Arundel County
Joseph C. Orlando, MD
Baltimore County
Joseph C. Orlando, MD
March 2021 Network specialists – Terminations
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 71
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Psychiatry
District of Columbia
Morris J. Chalick, MD
Urology
Maryland
Baltimore County
Alan M. Geringer, MD
Montgomery County
Amir H. Lebastchi, MD
72 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
February 2021 Network specialists – Terminations
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Cardiology
Maryland
Baltimore City
David A. Meyerson, MD
Baltimore County
David A. Meyerson, MDShellee E. Nolan, MD
Chiropractor
District of Columbia
Chin-Wan Cho, DC
Maryland
Baltimore City
Yizhak Bushwick, DCMark L. Stutman, DC
Carroll County
Michael R. Bartel, DC
Montgomery County
Mark L. Stutman, DC
Virginia
Arlington County
Joshua C. Alvarado, DC
Fairfax County
Dalbir S. Bedi, DCJason T. Brown, DC
Orthopedic surgery
Maryland
Anne Arundel County
Terrence M. O’Donovan, MD
Physiatry, rehabilitative medicine
Maryland
Anne Arundel County
William Tham, MD
Psychiatry
Maryland
Howard County
Misty L. Borst, MD
Urology
Maryland
Anne Arundel County
Andrew C. Kramer, MD
Baltimore County
Karen E. Boyle, MD
Howard County
Karen E. Boyle, MD
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 73
January 2021 Network specialists – Terminations
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Dermatology
Maryland
Baltimore County
Mary Sheu, MD
Gastroenterology
Maryland
Baltimore City
Alan A. Rosen, MD
Gynecology, Ob/Gyn
Maryland
Montgomery County
Hartaj Powell, MD
Virginia
Fairfax County
Hartaj Powell, MD
Ophthalmology
Maryland
Anne Arundel County
Verinder S. Nirankari, MD
Baltimore City
Verinder S. Nirankari, MD
Baltimore County
Verinder S. Nirankari, MD
Podiatry
Virginia
Fredericksburg City
Brett Waverly, DPM
Spotsylvania County
Brett Waverly, DPM
Psychiatry
Maryland
Baltimore County
Constance Flanagan, MD
Howard County
Constance Flanagan, MD
74 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
December 2020 Network specialists – Terminations
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Chiropractor
District of Columbia
Theodore E. Davidson III, DC
Maryland
Howard County
Peter R. Dexheimer, DC
Virginia
Fairfax County
Jessica D. Barnhart, DC
Loudoun County
Frankie Velez, DC
Prince William County
Jessica D. Barnhart, DC
Dermatology
Maryland
Baltimore City
Robert G. Egbers, MD
ENT/Otolaryngology
Maryland
Baltimore City
Choon M. Park, MD
Baltimore County
Michael D. Weiss, MD
Gynecology, Ob/Gyn
Maryland
Anne Arundel County
Rachel E. Chan Seay, MD
Baltimore City
Rachel E. Chan Seay, MDSharice R. Hammond, MDSvena D. Julien, MD
Virginia
Arlington County
Nisha A. Vyas, MD
Infectious diseases
Maryland
Baltimore City
Robin McKenzie, MD
Neurology
Maryland
Baltimore City
Ronald P. Lesser, MDSarah E. Nelson, MD
Oncology— medical, surgical
Maryland
Baltimore City
Enser W. Cole, MD
Virginia
Fairfax County
Raymond C. Wadlow, MD
Ophthalmology
Maryland
Baltimore City
Jerome Ross, MD
Baltimore County
Myron B. Blum, MD
Howard County
Jerome Ross, MD
December 2020 Network specialists – Terminations
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 75
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Plastic surgery
Maryland
Baltimore City
Wei-Ping A. Lee, MD
Urology
Maryland
Baltimore City
Michael H. Johnson, MD
76 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
November 2020 Network specialists – Terminations
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Cardiology
Maryland
Anne Arundel County
Mark G. Treuth, MD
Baltimore City
David A. Zimrin, MD
Carroll County
David A. Zimrin, MD
Montgomery County
Joann Urquhart, MD
Chiropractor
District of Columbia
Christian C. Gregory, DC
Maryland
Anne Arundel County
Raymond K. Barry, DCAdam L. Cohen, DCLief F. Hands, DC
Baltimore City
Scott D. Jarrett, DC
Frederick County
Brandon P. Steinbar, DC
Montgomery County
Dorothy L. Dalton-Sheridan, DCLisa B. Hepfer, DCSteven F. Lipschutz, DCMariella M. Young, DC
Virginia
Alexandria City
Jeffrey A. Brown, DC
Arlington County
Olya A. Morgen, DC
Fairfax City
Gregory K. Lee, DC
Fairfax County
Leroy A. Bazzarone, DCAndrew C. Jordan, DCGurutrang S. Khalsa, DC
Loudoun County
Joshua M. Sampson, DCEric R. Saxton, DC
Prince William County
Arshia B. Nozari, DC
Dermatology
District of Columbia
Nashay N. Clemetson, MDThomas P. Nigra, MD
Endocrinology
Maryland
Baltimore County
Francis Y. Lee, MD
Gastroenterology
Virginia
Arlington County
Mohammad E. Hoque, MD
General surgery
Maryland
Baltimore City
Bethany C. Sacks, MD
Gynecology, Ob/Gyn
Maryland
Baltimore County
Deborah L. Hebb, MD
Howard County
Lahaina R. Hall, MD
November 2020 Network specialists – Terminations
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 77
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Nephrology
Maryland
Anne Arundel County
Nadia A. Chaudhri, MDVijay Kumar, MD
Baltimore County
Nadia A. Chaudhri, MD
Neurology
Maryland
Baltimore City
Elizabeth Barry, MD
Neurosurgery
Maryland
Baltimore City
Ira M. Garonzik, MD
Oncology— medical, surgical
Maryland
Baltimore City
Meyer R. Heyman, MD
Oncology—Radiation/ Radiation oncology
Virginia
Alexandria City
Glenn L. Tonnesen, MD
Fairfax County
Glenn L. Tonnesen, MD
Loudoun County
Glenn L. Tonnesen, MD
Prince William County
Glenn L. Tonnesen, MD
Ophthalmology
Virginia
Fairfax County
Brian Egan, MD
Orthopedic surgery
Virginia
Manassas City
Gabriel M. Gluck, MD
Plastic surgery
Maryland
Baltimore County
Kerry E. Owens, MD
Howard County
Kerry E. Owens, MD
Psychiatry
Maryland
Baltimore County
Maurice Bachawati, MDMerle C. McCann, MDAbdolazim Shahsavar, MD
Howard County
Abdolazim Shahsavar, MD
Prince George’s County
Sonia N. Tyutyulkova, MD
Rheumatology
Maryland
Baltimore City
Julius Birnbaum, MD
November 2020 Network specialists – Terminations
78 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.
Urology
District of Columbia
Eric R. Emanuel, MD
Maryland
Anne Arundel County
Anand M. Dhanda, MD
Baltimore County
Anand M. Dhanda, MD
Montgomery County
Mark H. Ratner, MD
Prince George’s County
Eric R. Emanuel, MDFrank S. Melograna, MD
November 2021 Updates to existing Kaiser Permanente providers
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 79
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.
District of Columbia
Specialty Provider Type of Change
Gynecology, Ob/Gyn Stephanie S. Hack, MDNorthwest DC Medical Office BuildingAccepting new patients: No
Accepting new patients change
Internal medicine Samuel Stone Ballew, DOKaiser Permanente Capitol Hill Medical CenterAccepting new patients: No
Accepting new patients change
Maryland
Specialty Provider Type of Change
Family practice Sharon Y. Chung, DONorth Arundel Medical CenterAccepting new patients: No
Accepting new patients change
Family practice David Jang, MDNorth Arundel Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Sherell Latonya Mason, MDBaltimore Harbor Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Allison Leigh Parker-Fahey, MDKensington Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Marie Pereira, DOWhite Marsh Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Naeha Kaw Quasba, MDWoodlawn Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Wendy Carolina Rosensweig, MDSilver Spring Medical CenterAccepting new patients: No
Accepting new patients change
Updates to existing Kaiser Permanente providers – November 2021
November 2021 Updates to existing Kaiser Permanente providers
80 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Gynecology, Ob/Gyn Adrienne Anita Stevenson, MDPrince George’s Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Glynn Mark Thompson, MDGaithersburg Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Raj N. Yadav, MDSouth Baltimore County Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Michele Rene Arthurs, MDCamp Springs Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Sabine F. Balzora-Jackson, MDCamp Springs Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Darrell John Baranko, MDGaithersburg Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Karen Tapawan Chen, MDTowson Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Eva Dicocco, MDWoodlawn Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Nkechinyerem Eseonu-Ewoh, MDWoodlawn Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Zhihua Geng, MDWoodlawn Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Meeta Gulati, MDWhite Marsh Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Nicholas Hatate, DOPrince George’s Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Manish Jain, MDKensington Medical CenterAccepting new patients: Yes
Accepting new patients change
November 2021 Updates to existing Kaiser Permanente providers
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 81
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Internal medicine Sindhu Thoppil James, MDWoodlawn Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Supriya Janakiraman, MDGaithersburg Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Heather Marie Kearney, MDPrince George’s Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Shirley Wynleen Lee, MDWoodlawn Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Robert Jason Levine, DOTowson Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Leopoldine Modjo Kenmogne, MDSouth Baltimore County Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Christelle Nong Libend, MDSouth Baltimore County Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Nkiruka Uzoamaka Obioha, MDTowson Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Sonal Dineshbhai Patel, MDKensington Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Meaza Gebre Selassie, MDGaithersburg Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Gaby Tesfaye, MDPrince George’s Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Mary Varkey, MDTowson Medical CenterAccepting new patients: No
Accepting new patients change
November 2021 Updates to existing Kaiser Permanente providers
82 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Internal medicine Neelofar Wajahat, MDWoodlawn Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Charlotte Anne Watts, MDTowson Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Umme Yasmin, MDNorth Arundel Medical CenterAccepting new patients: No
Accepting new patients change
Virginia
Specialty Provider Type of Change
Family practice Rebecca Jane Davison, MDSpringfield Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Tejal Dharia, MDHaymarket Crossroads Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Riley Sean Dubois, MDHaymarket Crossroads Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Lisa Jenkins, MDFredericksburg Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Rachel Nicole Marquez, MDColonial Forge Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Michelle M. Tran, MDReston Medical CenterAccepting new patients: Yes
Accepting new patients change
Gynecology, Ob/Gyn Sheneika M. Walker, MDWoodbridge Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Olakunle Olusiji Abisuga, MDWoodbridge Medical CenterAccepting new patients: No
Accepting new patients change
November 2021 Updates to existing Kaiser Permanente providers
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 83
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Virginia (continued)
Specialty Provider Type of Change
Internal medicine Sonya Adam, MDSpringfield Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Khadija I. Alvi, MDAshburn Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Esther Kim Bahk, MDSpringfield Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Yodit B. Benalfew, MDFair Oaks Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Vincent Chi-Min Chen, MDSpringfield Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Anna Agnieszka Kraszewska, MDReston Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Kusuma Kalyani Nanduri, MDFair Oaks Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Vu The Nguyen, MDFalls Church Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Juan Carlos Ortiz Perez, MDWoodbridge Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Katherine E. Rutledge, MDBurke Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Carole Assaad Shaddad, MDSpringfield Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine William A. Thistlethwaite, MDFalls Church Medical CenterAccepting new patients: Yes
Accepting new patients change
84 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
October 2021 Updates to existing Kaiser Permanente providers
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.
District of Columbia
Specialty Provider Type of Change
Internal medicine Lisa R. Lee, MDNorthwest DC Medical Office BuildingAccepting new patients: Yes
Accepting new patients change
Maryland
Specialty Provider Type of Change
Family practice Rachel Bernice Hope, MDBaltimore Harbor Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Sherell Latonya Mason, MDBaltimore Harbor Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Allison Leigh Parker-Fahey, MDKensington Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Wendy Carolina Rosensweig, MDSilver Spring Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Marc E. Wilson, MDBaltimore Harbor Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Crystal P. Yeldell, MDMarlow Heights Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Nika Vinson, MDSouth Baltimore County Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Zoka Mazarei Afsar, DOGaithersburg Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Juliana H. Aruna, MDBowie Medical CenterAccepting new patients: Yes
Accepting new patients change
Updates to existing Kaiser Permanente providers – October 2021
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 85
October 2021 Updates to existing Kaiser Permanente providers
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Internal medicine Sevag Bananian, MDKensington Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Darrell John Baranko, MDGaithersburg Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Irina Bobrova Sherman, MDShady Grove Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Eva Dicocco, MDWoodlawn Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Nkechinyerem Eseonu-Ewoh, MDWoodlawn Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Chong Fang, MDTowson Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Zhihua Geng, MDWoodlawn Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Manish Jain, MDKensington Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Charis James, MDWhite Marsh Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Robert Jason Levine, DOTowson Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Nandakishore Nemarugommula, MDGaithersburg Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Nkiruka Uzoamaka Obioha, MDTowson Medical CenterAccepting new patients: Yes
Accepting new patients change
86 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
October 2021 Updates to existing Kaiser Permanente providers
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Internal medicine Chioma A. Ohalete, MDPrince George’s Medical CenterProvider code: 18051
Name change
Internal medicine Joy Isomianwu Onaghise, MDBowie Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Patricia A. Oshodi, MDCamp Springs Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Chevonne Tenille Salmon-Ray, MDPrince George’s Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Meaza Gebre Selassie, MDGaithersburg Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Samuel A. Semegn, MDSilver Spring Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine William Edwin Towne, MDBowie Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Mary Varkey, MDTowson Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Neelofar Wajahat, MDWoodlawn Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Charlotte Anne Watts, MDTowson Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Sherry J. Weinstein-Mayer, MDBaltimore Harbor Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Miranda Efua Wellington, MDBowie Medical CenterAccepting new patients: Yes
Accepting new patients change
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 87
October 2021 Updates to existing Kaiser Permanente providers
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Virginia
Specialty Provider Type of Change
Dermatology Brittany L. Heffner, MDSpringfield Medical CenterProvider code: 16814
Name change
Family practice Riley Sean Dubois, MDHaymarket Crossroads Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Saurabh Gambhir, MDFair Oaks Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Akila V. Iyer, MDHaymarket Crossroads Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Mahvash Mujahid, MDFair Oaks Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Claria L. Prior, DOWoodbridge Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Claria L. Prior, DOWoodbridge Medical CenterProvider code: 16957
Name change
Family practice Christie Youssef, DOFair Oaks Medical CenterAccepting new patients: Yes
Accepting new patients change
Gynecology, Ob/Gyn Nicole Tate, MDFredericksburg Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Pritha Mahadevan Workman, MDSpringfield Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Summer Abdel-Megeed, MDTysons Corner Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Esther Kim Bahk, MDSpringfield Medical CenterAccepting new patients: Yes
Accepting new patients change
88 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
October 2021 Updates to existing Kaiser Permanente providers
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Virginia (continued)
Specialty Provider Type of Change
Internal medicine Yodit B. Benalfew, MDFair Oaks Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Sowjanya Bhagavatula, MDWoodbridge Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Vincent Chi-Min Chen, MDSpringfield Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Jonathan Justin Chou, MDWoodbridge Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Suma Doppalapudi, MDAshburn Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Stuart Q. Hopkins, MDWoodbridge Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Anna Agnieszka Kraszewska, MDReston Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Manasi Pandit Long, MDBurke Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Priya Mathur, MDManassas Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Kusuma Kalyani Nanduri, MDFair Oaks Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Vu The Nguyen, MDFalls Church Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Juan Carlos Ortiz Perez, MDWoodbridge Medical CenterAccepting new patients: Yes
Accepting new patients change
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 89
October 2021 Updates to existing Kaiser Permanente providers
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Virginia (continued)
Specialty Provider Type of Change
Internal medicine Katherine Elizabeth Rutledge, MDBurke Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Katherine E. Rutledge, MDBurke Medical CenterProvider code: 18451
Name change
Internal medicine William A. Thistlethwaite, MDFalls Church Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Sarah Elizabeth Woessner, MDSpringfield Medical CenterAccepting new patients: No
Accepting new patients change
September 2021 Updates to existing Kaiser Permanente providers
90 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.
District of Columbia
Specialty Provider Type of Change
General surgery Joyce Y. Wong, MDKaiser Permanente Capitol Hill Medical CenterProvider code: 17433
Name change
Internal medicine Douglas Mark Van Zoeren, MDKaiser Permanente Capitol Hill Medical CenterAccepting new patients: No
Accepting new patients change
Maryland
Specialty Provider Type of Change
Allergy and Immunology Adriano N. Salicru, MDBowie Fairwood Medical Center5400 Hillmeade RoadBowie, MD 207201-301-867-1300
Address/phone change
ENT/Otolaryngology Margot E. Clasquin, MDLargo Medical CenterProvider code: 14130
Name change
Family practice Oluwakemi Abosede Ajide, MDWhite Marsh Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Ayanna Marie Beard, MDMarlow Heights Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Stephanie Lynn Davis, MDAbingdon Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Raymond Dormevil, MDWoodlawn Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Rachel Bernice Hope, MDBaltimore Harbor Medical CenterAccepting new patients: No
Accepting new patients change
Updates to existing Kaiser Permanente providers – September 2021
September 2021 Updates to existing Kaiser Permanente providers
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 91
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Family practice Sherell Latonya Mason, MDBaltimore Harbor Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Thuan-Hoa Nguyen, MDSilver Spring Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Maia Moraine Patel, MDAbingdon Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Marie Pereira, DOWhite Marsh Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Naeha Kaw Quasba, MDWoodlawn Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Jency Thomas, MDMarlow Heights Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Kathyann M. Walcott, MDSilver Spring Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Marc E. Wilson, MDBaltimore Harbor Medical CenterAccepting new patients: No
Accepting new patients change
General surgery Wudneh M. Temesgen, MDKensington Medical CenterLargo Medical CenterProvider code: 16122
Name change
Gynecology, Ob/Gyn Dalila Harvey-Granger, MDBowie Fairwood Medical Center5400 Hillmeade RoadBowie, MD 207201-301-867-1300
Address/phone change
Gynecology, Ob/Gyn Thomas C. Hogue, MDBowie Fairwood Medical Center5400 Hillmeade RoadBowie, MD 207201-301-867-1300
Address/phone change
Gynecology, Ob/Gyn Shillena Natalie Peters, MDSouth Baltimore County Medical CenterAccepting new patients: No
Accepting new patients change
September 2021 Updates to existing Kaiser Permanente providers
92 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Gynecology, Ob/Gyn Nika Vinson, MDSouth Baltimore County Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Zoka Mazarei Afsar, DOGaithersburg Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Juliana H. Aruna, MDBowie Fairwood Medical Center5400 Hillmeade RoadBowie, MD 207201-301-867-1300
Address/phone change
Internal medicine Sharmila Aryal, MDKensington Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Yonas Ateshim, MDSouth Baltimore County Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Sabine F. Balzora-Jackson, MDCamp Springs Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Sevag Bananian, MDKensington Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Darrell John Baranko, MDGaithersburg Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Malori Monet Callender, MDLargo Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Karen Tapawan Chen, MDTowson Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Laura Emmanuel-Allen, MDWoodlawn Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Zhihua Geng, MDWoodlawn Medical CenterAccepting new patients: Yes
Accepting new patients change
September 2021 Updates to existing Kaiser Permanente providers
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 93
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Internal medicine Yeneisha Greene, MDCamp Springs Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Jasmin Hans, MDWhite Marsh Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Manish Jain, MDKensington Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Charis James, MDWhite Marsh Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Supriya Janakiraman, MDGaithersburg Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Robert Jason Levine, DOTowson Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Alyssa Mary Mathew, DOWhite Marsh Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Leopoldine Modjo Kenmogne, MDSouth Baltimore County Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Christelle Nong Libend, MDSouth Baltimore County Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Joy I. Onaghise, MDBowie Fairwood Medical Center5400 Hillmeade RoadBowie, MD 207201-301-867-1300
Address/phone change
Internal medicine Yasmin Panahy, MDKensington Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Jennifer Y. Prendez, MDPrince George’s Medical CenterProvider code: 16932
Name change
September 2021 Updates to existing Kaiser Permanente providers
94 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Internal medicine Jennifer Prendez, MDPrince George’s Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Barbara Ledesma Sanico, MDWhite Marsh Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Meaza Gebre Selassie, MDGaithersburg Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Samuel A. Semegn, MDSilver Spring Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine David Alden Smith, MDKensington Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Gina L. Standard, MDColumbia Gateway Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Gaby Tesfaye, MDPrince George’s Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine William E. Towne, MDBowie Fairwood Medical Center5400 Hillmeade RoadBowie, MD 207201-301-867-1300
Address/phone change
Internal medicine Mary Varkey, MDTowson Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Felecia S. Waddleton-Willis, DOColumbia Gateway Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Nan Wang, MDKensington Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Miranda E. Wellington, MDBowie Fairwood Medical Center5400 Hillmeade RoadBowie, MD 207201-301-867-1300
Address/phone change
September 2021 Updates to existing Kaiser Permanente providers
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 95
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Internal medicine Jeffrey Michael Wharton, MDGaithersburg Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Dereje Woreta, MDSilver Spring Medical CenterAccepting new patients: No
Accepting new patients change
Ophthalmology Ruby A. Parikh, MDLargo Medical CenterProvider code: 398007
Name change
Orthopedic surgery Leonard F. Tassy, MDKensington Medical CenterProvider code: 8897
Name change
Pediatrics Adrienne Grace Collier, MDLargo Medical CenterAccepting new patients: Yes
Accepting new patients change
Pediatrics Mark Anthony Reed, MDLargo Medical CenterAccepting new patients: No
Accepting new patients change
Pediatrics Lynn S. Trombka, MDLargo Medical CenterAccepting new patients: No
Accepting new patients change
Psychiatry Shanda J. Smith, MDBowie Fairwood Medical Center5400 Hillmeade RoadBowie, MD 207201-301-867-1300
Address/phone change
Virginia
Specialty Provider Type of Change
Family practice Rebecca Jane Davison, MDSpringfield Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Saurabh Gambhir, MDFair Oaks Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Liliana Gomez-Medley, MDFalls Church Medical CenterAccepting new patients: Yes
Accepting new patients change
September 2021 Updates to existing Kaiser Permanente providers
96 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Virginia (continued)
Specialty Provider Type of Change
Family practice Mahvash Mujahid, MDFair Oaks Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Cristina Natalia Policarpio, MDWoodbridge Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Andaleeb Rahman, MDFair Oaks Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Jeannette Tao, MDBurke Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Christie Youssef, DOFair Oaks Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Julie A. Ambrose, MDTysons Corner Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Toinette O. Chin, MDFair Oaks Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Toriseju D. Whyte, MDAlexandria Medical CenterProvider code: 321609
Name change
Gynecology, Ob/Gyn Pritha Mahadevan Workman, MDSpringfield Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Sonya Adam, MDSpringfield Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Yodit B. Benalfew, MDFair Oaks Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Jonathan Justin Chou, MDWoodbridge Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Kajal Dasgupta, MDFalls Church Medical CenterAccepting new patients: No
Accepting new patients change
September 2021 Updates to existing Kaiser Permanente providers
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 97
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Virginia (continued)
Specialty Provider Type of Change
Internal medicine Suma Doppalapudi, MDAshburn Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Janet Marie Dougherty, MDSpringfield Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Diane Franchi, MDFredericksburg Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Stuart Q. Hopkins, MDWoodbridge Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Arsalan Zaeem Khawaja, MDFair Oaks Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Anna Agnieszka Kraszewska, MDReston Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Manasi Pandit Long, MDBurke Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Brandon Mark McElroy, MDWoodbridge Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Thu Bich Nguyen, MDFair Oaks Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Elena Short, MDWoodbridge Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Florence Anne Tchouaffi-Nana, MDWoodbridge Medical CenterAccepting new patients: No
Accepting new patients change
August 2021 Updates to existing Kaiser Permanente providers
98 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.
District of Columbia
Specialty Provider Type of Change
Internal medicine Samuel Stone Ballew, DOKaiser Permanente Capitol Hill Medical CenterAccepting new patients: No
Accepting new patients change
Maryland
Specialty Provider Type of Change
Family practice Oluwakemi Abosede Ajide, MDWhite Marsh Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Sharon Y. Chung, DONorth Arundel Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Rachel Bernice Hope, MDBaltimore Harbor Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Allison Leigh Parker-Fahey, MDKensington Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Maia Moraine Patel, MDAbingdon Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Deborah Maria Thompson, MDMarlow Heights Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Kathyann M. Walcott, MDSilver Spring Medical CenterAccepting new patients: Yes
Accepting new patients change
Gynecology, Ob/Gyn Dalila Harvey-Granger, MDLargo Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Thomas Charles Hogue, MDLargo Medical CenterAccepting new patients: No
Accepting new patients change
Updates to existing Kaiser Permanente providers – August 2021
August 2021 Updates to existing Kaiser Permanente providers
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 99
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Gynecology, Ob/Gyn Shillena Natalie Peters, MDSouth Baltimore County Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Nika Vinson, MDSouth Baltimore County Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Darrell John Baranko, MDGaithersburg Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Irina Bobrova Sherman, MDShady Grove Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Justin F. Capasso, MDTowson Medical Center1447 York Road, Suite 100Lutherville, MD 210931-410-339-5500
Address/phone change
Internal medicine Anuradha Dahiya, MDSilver Spring Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Florence Veronica Deza, MDColumbia Gateway Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Laura Emmanuel-Allen, MDWoodlawn Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Nkechinyerem Eseonu-Ewoh, MDWoodlawn Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Chong Fang, MDTowson Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Zhihua Geng, MDWoodlawn Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Alyssa Mary Mathew, DOWhite Marsh Medical CenterAccepting new patients: Yes
Accepting new patients change
August 2021 Updates to existing Kaiser Permanente providers
100 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Internal medicine Rita Mathur, MDWhite Marsh Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Hanadi Shamkhani, MDPrince George’s Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Gaby Tesfaye, MDPrince George’s Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Mary Varkey, MDTowson Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Jeffrey Michael Wharton, MDGaithersburg Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Dereje Woreta, MDSilver Spring Medical CenterAccepting new patients: No
Accepting new patients change
Virginia
Specialty Provider Type of Change
Family practice Cristina Natalia Policarpio, MDWoodbridge Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Ashley A. Tennyson, MDFair Oaks Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Michelle M. Tran, MDReston Medical CenterProvider code: 15175
Name change
Family practice Minh-Chau Tran, MDReston Medical CenterAccepting new patients: Yes
Accepting new patients change
Gynecology, Ob/Gyn Julie A. Ambrose, MDTysons Corner Medical CenterAccepting new patients: No
Accepting new patients change
August 2021 Updates to existing Kaiser Permanente providers
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 101
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Virginia (continued)
Specialty Provider Type of Change
Gynecology, Ob/Gyn Jennifer M. Biggs, MDFalls Church Medical Center201 N. Washington St.Falls Church, VA 220461-703-237-4000
Address/phone change
Gynecology, Ob/Gyn Toinette O. Chin, MDFair Oaks Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Kondeh A. Greaves, MDAshburn Medical Center43480 Yukon DriveAshburn, VA 201471-571-252-6000
Address/phone change
Gynecology, Ob/Gyn Gabriela Adriana Mandolesi, MDAshburn Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Nuru A. Robi, MDWoodbridge Medical Center14139 Potomac Mills RoadWoodbridge, VA 221921-703-490-8400
Address/phone change
Gynecology, Ob/Gyn Tammy Zelle Rosenthal, MDReston Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Krystilyn Washington, MDWoodbridge Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Pritha Mahadevan Workman, MDSpringfield Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Summer Abdel-Megeed, MDTysons Corner Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Olakunle Olusiji Abisuga, MDWoodbridge Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Esther Kim Bahk, MDSpringfield Medical CenterAccepting new patients: Yes
Accepting new patients change
August 2021 Updates to existing Kaiser Permanente providers
102 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Virginia (continued)
Specialty Provider Type of Change
Internal medicine Alejandra Bustillo, MDFalls Church Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Jonathan Justin Chou, MDWoodbridge Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Stuart Q. Hopkins, MDWoodbridge Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Priya Mathur, MDManassas Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Kusuma Kalyani Nanduri, MDFair Oaks Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Bhavin Manubhai Patel, MDWoodbridge Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Elena Short, MDWoodbridge Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine William Carl Stallard, MDSpringfield Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Alan H. Wynn, MDWoodbridge Medical CenterAccepting new patients: Yes
Accepting new patients change
Uro-Gynecology Tiffany M. Sotelo, MDColonial Forge Medical CenterFair Oaks Medical CenterTysons Corner Medical CenterProvider code: 267536
Name change
Urology Tiffany M. Sotelo, MDColonial Forge Medical CenterFair Oaks Medical CenterTysons Corner Medical CenterProvider code: 267536
Name change
July 2021 Updates to existing Kaiser Permanente providers
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 103
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.
District of Columbia
Specialty Provider Type of Change
Gynecology, Ob/Gyn Samita Sharma, MDKaiser Permanente Capitol Hill Medical Center
Name change
Internal medicine Samuel Stone Ballew, DOKaiser Permanente Capitol Hill Medical CenterAccepting new patients: Yes
Accepting new patients change
Maryland
Specialty Provider Type of Change
Family practice Sharon Y. Chung, DONorth Arundel Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Maia Moraine Patel, MDAbingdon Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Kathyann M. Walcott, MDSilver Spring Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Fadeke Ajayi, MDMarlow Heights Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Michele Lynn Eno, MDKaiser Permanente Frederick Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Dalila Harvey-Granger, MDLargo Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Thomas Charles Hogue, MDLargo Medical CenterAccepting new patients: No
Accepting new patients change
Updates to existing Kaiser Permanente providers – July 2021
July 2021 Updates to existing Kaiser Permanente providers
104 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Gynecology, Ob/Gyn Shillena Natalie Peters, MDSouth Baltimore County Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Christine H. Sohn Woo, MDWhite Marsh Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Nika Vinson, MDSouth Baltimore County Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Vijaya Lakshmi Alla, MDCamp Springs Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Michele Rene Arthurs, MDCamp Springs Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Yonas Ateshim, MDSouth Baltimore County Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Sabine F. Balzora-Jackson, MDCamp Springs Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Sevag Bananian, MDKensington Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Justin F. Capasso, MDKaiser Permanente Baltimore Harbor Medical Center815 E. Pratt St.Baltimore, MD 212021-410-637-5700
Address/phone change
Internal medicine Florence Veronica Deza, MDColumbia Gateway Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Eva Dicocco, MDWoodlawn Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Nkechinyerem Eseonu-Ewoh, MDWoodlawn Medical CenterAccepting new patients: Yes
Accepting new patients change
July 2021 Updates to existing Kaiser Permanente providers
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 105
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Internal medicine Zhihua Geng, MDWoodlawn Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Yeneisha Greene, MDCamp Springs Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Nicholas Hatate, DOPrince George’s Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Supriya Janakiraman, MDGaithersburg Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Robert Jason Levine, DOTowson Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Kolawole S. Oloniyo, MDLargo Medical Center
Name change
Internal medicine Joy Isomianwu Onaghise, MDLargo Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Sonal Dineshbhai Patel, MDKensington Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Karen Rochelle Rabin, MDKensington Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Barbara Ledesma Sanico, MDWhite Marsh Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Samuel A. Semegn, MDSilver Spring Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Thomas Stallard, MDPrince George’s Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Gaby Tesfaye, MDPrince George’s Medical CenterAccepting new patients: No
Accepting new patients change
July 2021 Updates to existing Kaiser Permanente providers
106 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Internal medicine William Edwin Towne, MDLargo Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Mary Varkey, MDTowson Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Rupa Allam Varma, MDLargo Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Umme Yasmin, MDNorth Arundel Medical CenterAccepting new patients: Yes
Accepting new patients change
Otolaryngology Leslie A. Nurse, MDKensington Medical CenterTowson Medical Center
Name change
Virginia
Specialty Provider Type of Change
Family practice Zain Javed, MDWoodbridge Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Claria L. Prior, DOWoodbridge Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Jeannette Tao, MDBurke Medical CenterAccepting new patients: Yes
Accepting new patients change
Gynecology, Ob/Gyn Jennifer Mathews Biggs, MDSpringfield Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Toinette O. Chin, MDFair Oaks Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Kondeh A. Greaves, MDAshburn Medical CenterAccepting new patients: No
Accepting new patients change
July 2021 Updates to existing Kaiser Permanente providers
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 107
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Virginia (continued)
Specialty Provider Type of Change
Gynecology, Ob/Gyn Kondeh A. Greaves, MDHaymarket Crossroads Medical Center15050 Heathcote Blvd.Haymarket, VA 201691-571-445-7200
Address/phone change
Gynecology, Ob/Gyn Eunice J. Lee, MDTysons Corner Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Tammy Zelle Rosenthal, MDReston Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Kasandra Lynne Scales, MDWoodbridge Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Simon Arn Wilson, MDFalls Church Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Pritha Mahadevan Workman, MDSpringfield Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Seung Chae, MDManassas Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Janet Marie Dougherty, MDSpringfield Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Stuart Q. Hopkins, MDWoodbridge Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Priya Mathur, MDManassas Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Brandon Mark McElroy, MDWoodbridge Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Kusuma Kalyani Nanduri, MDFair Oaks Medical CenterAccepting new patients: No
Accepting new patients change
July 2021 Updates to existing Kaiser Permanente providers
108 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Virginia (continued)
Specialty Provider Type of Change
Internal medicine Thu Bich Nguyen, MDFair Oaks Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine William Carl Stallard, MDSpringfield Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Florence Anne Tchouaffi-Nana, MDWoodbridge Medical CenterAccepting new patients: Yes
Accepting new patients change
June 2021 Updates to existing Kaiser Permanente providers
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 109
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.
District of Columbia
Specialty Provider Type of Change
Gastroenterology Lindsay J. Barnes, MDKaiser Permanente Capitol Hill Medical Center700 Second St. NEWashington, DC 200021-202-346-3000
Address/phone change
Internal medicine Edsel J. Gayoso, MDKaiser Permanente Capitol Hill Medical CenterAccepting new patients: Yes
Accepting new patients change
Maryland
Specialty Provider Type of Change
Family practice Alexandria A. Reilly, MDSilver Spring Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Vijaya Lakshmi Alla, MDCamp Springs Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Justin F. Capasso, MDTowson Medical Center1447 York Road, Suite 100Lutherville, MD 210931-410-339-5500
Address/phone change
Internal medicine Florence Veronica Deza, MDColumbia Gateway Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Laura Emmanuel-Allen, MDWoodlawn Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Zhihua Geng, MDWoodlawn Medical CenterAccepting new patients: Yes
Accepting new patients change
Updates to existing Kaiser Permanente providers – June 2021
June 2021 Updates to existing Kaiser Permanente providers
110 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Internal medicine Shirley Wynleen Lee, MDWoodlawn Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Sonal Dineshbhai Patel, MDKensington Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Jennifer Prendez, MDPrince George’s Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Hanadi Shamkhani, MDPrince george’s Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Catherine Ama Twimasi, MDMarlow Heights Medical CenterAccepting new patients: No
Accepting new patients change
Ophthalmology Michael E. Korchak, MDLargo Medical Center
Name change
Virginia
Specialty Provider Type of Change
Cardiology Natalia Berry, MDTysons Corner Medical Center8008 Westpark DriveMcLean, VA 221021-703-287-6400
Address/phone change
Family practice Frances Ding, DOSpringfield Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Eric Paul Freitas, MDAlexandria Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Matthew Hahn, MDAlexandria Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Ashley A. Tennyson, MDFair Oaks Medical CenterAccepting new patients: No
Accepting new patients change
June 2021 Updates to existing Kaiser Permanente providers
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 111
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Virginia (continued)
Specialty Provider Type of Change
Gynecology, Ob/Gyn Kondeh A. Greaves, MDAshburn Medical Center43480 Yukon Drive, Suite 100Ashburn, VA 201471-571-252-6000
Address/phone change
Gynecology, Ob/Gyn Nuru A. Robi, MDColonial Forge Medical Center125 Hospital Center Blvd., Suite 110Stafford, VA 225541-540-602-6500
Address/phone change
Internal medicine Summer Abdel-Megeed, MDTysons Corner Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Jonathan Justin Chou, MDWoodbridge Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Jasmine A. Finch, MDSpringfield Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Carole Assaad Shaddad, MDSpringfield Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Lellise Taye Shewakena, MDReston Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine William Carl Stallard, MDSpringfield Medical CenterAccepting new patients: Yes
Accepting new patients change
Ophthalmology Kim Jiramongkolchai, MDSpringfield Medical Center6501 Loisdale CourtSpringfield, VA 221501-703-922-1000
Address/phone change
May 2021 Updates to existing Kaiser Permanente providers
112 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.
District of Columbia
Specialty Provider Type of Change
Internal medicine Edsel J. Gayoso, MDKaiser Permanente Capitol Hill Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Sos A. Mboijana, MDKaiser Permanente Capitol Hill Medical CenterAccepting new patients: No
Accepting new patients change
Maryland
Specialty Provider Type of Change
Family practice Sharon Y. Chung, DONorth Arundel Medical Center
Name change
Family practice Stephanie Lynn Davis, MDAbingdon Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Rachel Bernice Hope, MDBaltimore Harbor Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Sherell Latonya Mason, MDBaltimore Harbor Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Sara A. Mills, MDMarlow Heights Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Tamischer Baldwin Nettles, MDAbingdon Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Maia Moraine Patel, MDAbingdon Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Kathyann M. Walcott, MDSilver Spring Medical CenterAccepting new patients: No
Accepting new patients change
Updates to existing Kaiser Permanente providers – May 2021
May 2021 Updates to existing Kaiser Permanente providers
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 113
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Gynecology, Ob/Gyn Christina Marie Boyd, MDWhite Marsh Medical CenterAccepting new patients: Yes
Accepting new patients change
Gynecology, Ob/Gyn Michele Lynn Eno, MDKaiser Permanente Frederick Medical CenterAccepting new patients: Yes
Accepting new patients change
Gynecology, Ob/Gyn Alin Ionescu, MDKensington Medical CenterAccepting new patients: Yes
Accepting new patients change
Gynecology, Ob/Gyn Shillena Natalie Peters, MDSouth Baltimore County Medical CenterAccepting new patients: Yes
Accepting new patients change
Gynecology, Ob/Gyn Diana G. Soffer, MDLargo Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Nika Vinson, MDSouth Baltimore County Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Cielito M. Aguinaldo, MDLargo Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Jennifer Lynn Ah-Kee, MDCamp Springs Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Juliana H. Aruna, MDLargo Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Yonas Ateshim, MDSouth Baltimore County Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Sabine F. Balzora-Jackson, MDCamp Springs Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Justin Francis Capasso, MDBaltimore Harbor Medical Center815 E Pratt St., Suite 300Baltimore, MD 212021-410-637-5700
Address/phone change
May 2021 Updates to existing Kaiser Permanente providers
114 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Internal medicine Karen Tapawan Chen, MDTowson Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Dione Chua, MDTowson Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine So Yeon Chung, MDGaithersburg Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Laurie MacDonald Crain, MDKensington Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Anuradha Dahiya, MDSilver Spring Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Nancy Fleurancois, MDLargo Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Anne Halsey, DOCamp Springs Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Meena Nadia Hasan, MDGaithersburg Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Charis James, MDWhite Marsh Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Kamani N. Karandana, MDLargo Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Poonam H. Maru, DOGaithersburg Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Karen Rochelle Rabin, MDKensington Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Barbara Ledesma Sanico, MDWhite Marsh Medical CenterAccepting new patients: No
Accepting new patients change
May 2021 Updates to existing Kaiser Permanente providers
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 115
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Internal medicine Ivy V. Savoy-Whitfield, MDLargo Medical CenterAccepting new patients: Yes
Name change and Accepting new patients change
Internal medicine Neelam B. Shah, MDKensington Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Yetunde Arinola Shitta-Bey, MDSilver Spring Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Gina L. Standard, MDColumbia Gateway Medical CenterAccepting new patients: Yes
Name change and Accepting new patients change
Internal medicine Hawani Temesgen, MDSilver Spring Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Rupa Allam Varma, MDLargo Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Miranda Efua Wellington, MDLargo Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Jeffrey Michael Wharton, MDGaithersburg Medical CenterAccepting new patients: No
Accepting new patients change
Virginia
Specialty Provider Type of Change
Family practice Rebecca Jane Davison, MDSpringfield Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Lisa Jenkins, MDFredericksburg Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Britta Lynn Mayer, MDSpringfield Medical CenterAccepting new patients: Yes
Accepting new patients change
May 2021 Updates to existing Kaiser Permanente providers
116 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Virginia (continued)
Specialty Provider Type of Change
Family practice Cristina Natalia Policarpio, MDWoodbridge Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Claria L. Prior, DOWoodbridge Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Minh-Chau Tran, MDReston Medical CenterAccepting new patients: Yes
Accepting new patients change
Gynecology, Ob/Gyn Jennifer Mathews Biggs, MDSpringfield Medical CenterAccepting new patients: Yes
Accepting new patients change
Gynecology, Ob/Gyn Toinette O. Chin, MDFair Oaks Medical CenterAccepting new patients: Yes
Accepting new patients change
Gynecology, Ob/Gyn Kondeh A. Greaves, MDHaymarket Crossroads Medical CenterAccepting new patients: Yes
Accepting new patients change
Gynecology, Ob/Gyn Beverly J. Waddell-Jiggetts, MDWoodbridge Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Simon Arn Wilson, MDFalls Church Medical CenterAccepting new patients: Yes
Accepting new patients change
Gynecology, Ob/Gyn Pritha Mahadevan Workman, MDSpringfield Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Rhanda Anwar Abd-Elfattah, MDFalls Church Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Olakunle Olusiji Abisuga, MDWoodbridge Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Esther Kim Bahk, MDSpringfield Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Rachel A. Burchard, MDWoodbridge Medical CenterAccepting new patients: No
Accepting new patients change
May 2021 Updates to existing Kaiser Permanente providers
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 117
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Virginia (continued)
Specialty Provider Type of Change
Internal medicine Alejandra Bustillo, MDFalls Church Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Banti D. Chand, MDAshburn Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Suma Doppalapudi, MDAshburn Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Janet Marie Dougherty, MDSpringfield Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Brandon Mark McElroy, MDWoodbridge Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Kusuma Kalyani Nanduri, MDFair Oaks Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Dieu-Thi Thi Nguyen, MDWoodbridge Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Thu Bich Nguyen, MDFair Oaks Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Darshan S. Sohal, MDReston Medical Center
Name change
Internal medicine Florence Anne Tchouaffi-Nana, MDWoodbridge Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Alan H. Wynn, MDWoodbridge Medical CenterAccepting new patients: No
Accepting new patients change
Oncology hematology Aloysius C. Pereira, MDBurke Medical CenterColonial Forge Medical CenterTysons Corner Medical Center
Name change
April 2021 Updates to existing Kaiser Permanente providers
118 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.
District of Columbia
Specialty Provider Type of Change
Gynecology, Ob/Gyn Carolyn M. Gorman, MDKaiser Permanente Capitol Hill Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Keith Michael Egan, DOKaiser Permanente Capitol Hill Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Rebecca L. Fitch, MDNorthwest DC Medical Office BuildingAccepting new patients: Yes
Accepting new patients change
Internal medicine Edsel J. Gayoso, MDKaiser Permanente Capitol Hill Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Bahiyyih June Khelghati, MDKaiser Permanente Capitol Hill Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Lisa R. Lee, MDNorthwest DC Medical Office BuildingAccepting new patients: No
Accepting new patients change
Internal medicine Stephanie Letourneau, MDKaiser Permanente Capitol Hill Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine William Narracci, DOKaiser Permanente Capitol Hill Medical CenterAccepting new patients: No
Name change and Accepting new patients change
Internal medicine Jantina M. Van Der Linde, MDNorthwest DC Medical Office BuildingAccepting new patients: Yes
Accepting new patients change
Updates to existing Kaiser Permanente providers – April 2021
April 2021 Updates to existing Kaiser Permanente providers
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 119
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
District of Columbia (continued)
Specialty Provider Type of Change
Internal medicine Ashlee Williams, MDKaiser Permanente Capitol Hill Medical CenterAccepting new patients: No
Accepting new patients change
Maryland
Specialty Provider Type of Change
Family practice Oluwakemi Abosede Ajide, MDWhite Marsh Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Ayanna Marie Beard, MDMarlow Heights Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Sharon Yeong Won Chung, DONorth Arundel Medical Center
Name change
Family practice Stephanie Lynn Davis, MDAbingdon Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Beatrice Digen, MDSilver Spring Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Raymond Dormevil, MDWoodlawn Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Rachel Bernice Hope, MDBaltimore Harbor Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Sara Alysse Mills, MDMarlow Heights Medical CenterAccepting new patients: Yes
Name change and Accepting new patients change
Family practice Sagal Omar Mohamud, MDSilver Spring Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Thuan-Hoa Nguyen, MDSilver Spring Medical CenterAccepting new patients: Yes
Accepting new patients change
April 2021 Updates to existing Kaiser Permanente providers
120 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Family practice Maia Moraine Patel, MDAbingdon Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Marie Pereira, DOWhite Marsh Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Naeha Kaw Quasba, MDWoodlawn Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Allison Rague, MDBaltimore Harbor Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Swapnil Raman-Luhadiya, MDSilver Spring Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Alexandria A. Reilly, MDSilver Spring Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Sokpheary Srorn, MDKaiser Permanente Frederick Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Sandra L. Swann, MDShady Grove Medical CenterAccepting new patients: No
Accepting new patients change
General surgery Ryan Patrick Nagele, MDGaithersburg Medical Center
Name change
General surgery Ryan Patrick Nagele, MDLargo Medical Center
Name change
Gynecology, Ob/Gyn Claire Wilson Bolander, MDTowson Medical CenterAccepting new patients: Yes
Accepting new patients change
Gynecology, Ob/Gyn Michele Lynn Hollars Eno, MDKaiser Permanente Frederick Medical CenterAccepting new patients: No
Name change and Accepting new patients change
Gynecology, Ob/Gyn Hong-Hanh H. Nguyen, MDKensington Medical Center
Name change
April 2021 Updates to existing Kaiser Permanente providers
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 121
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Gynecology, Ob/Gyn Shillena Natalie Peters, MDSouth Baltimore County Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Christine Hyun Sohn Woo, MDWhite Marsh Medical Center
Name change
Gynecology, Ob/Gyn Nika Vinson, MDSouth Baltimore County Medical CenterAccepting new patients: Yes
Accepting new patients change
Gynecology, Ob/Gyn Tarika Lanett Verne Williams, MDLargo Medical Center
Name change
Internal medicine Ethiopia Abebe, MDLargo Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Cielito M. Aguinaldo, MDLargo Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Jennifer Lynn Ah-Kee, MDCamp Springs Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Yonas Ateshim, MDSouth Baltimore County Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Idongesit I. Attang, MDLargo Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Sabine F. Balzora-Jackson, MDCamp Springs Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Sevag Bananian, MDKensington Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Darrell John Baranko, MDGaithersburg Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Elizabeth Biru, MDLargo Medical CenterAccepting new patients: Yes
Accepting new patients change
April 2021 Updates to existing Kaiser Permanente providers
122 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Internal medicine Justin Francis Capasso, MDBaltimore Harbor Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Shanita Leake Chase, MDSouth Baltimore County Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Dione Chua, MDTowson Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Pamela Coffey, MDKensington Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Laurie MacDonald Crain, MDKensington Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Jose De Leon Carpio, MDGaithersburg Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Florence Veronica Deza, MDColumbia Gateway Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Pardeep Paul Singh Dhanoa, DOColumbia Gateway Medical Center
Name change
Internal medicine Karin M. Dodge, MDNorth Arundel Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Nkechinyerem Eseonu-Ewoh, MDWoodlawn Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Nancy Fleurancois, MDLargo Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Jasmin Hans, MDWhite Marsh Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Meena Nadia Hasan, MDGaithersburg Medical CenterAccepting new patients: Yes
Accepting new patients change
April 2021 Updates to existing Kaiser Permanente providers
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 123
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Internal medicine Nicholas Hatate, DOPrince George’s Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Anise Yvonne Henry, DOAnnapolis Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Jean Ru-Jen Hou, MDGaithersburg Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Cindy C. Hsiao, MDCamp Springs Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Adrian Dale Hurley, MDKensington Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Saria Izzeldin, MDCamp Springs Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Glen Mirandilla Jacob, MDLargo Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Haibing T. Jiang, MDAnnapolis Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Kriti Kalra, MDKensington Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Dilasha Katwal, MDCamp Springs Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Elisabeth Gretke Maria Kramer, MDGaithersburg Medical CenterAccepting new patients: No
Name change and Accepting new patients change
Internal medicine John J. Lee, MDGaithersburg Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Shirley Wynleen Lee, MDWoodlawn Medical CenterAccepting new patients: Yes
Accepting new patients change
April 2021 Updates to existing Kaiser Permanente providers
124 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of ChangeInternal medicine Robert Jason Levine, DO
Towson Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Alyssa Mary Mathew, DOWhite Marsh Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Idil Mohamud, MDGaithersburg Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Nkiruka Uzoamaka Obioha, MDTowson Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Nwamaka Olutola Oluwato, MDLargo Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Yasmin Panahy, MDKensington Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Mayank P. Patel, MDGaithersburg Medical Center
Name change
Internal medicine Thomas Ndifor Pefok, MDLargo Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Joanna Theodora Regis, MDLargo Medical Center
Name change
Internal medicine Birju Harshad Ringwala, DOCamp Springs Medical Center
Name change
Internal medicine Chevonne Tenille Salmon-Ray, MDPrince George’s Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Ivy V. Savoy-Whitfield, MDLargo Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Neelam B. Shah, MDKensington Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Hanadi Shamkhani, MDPrince George’s Medical CenterAccepting new patients: No
Accepting new patients change
April 2021 Updates to existing Kaiser Permanente providers
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 125
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Internal medicine Yetunde Arinola Shitta-Bey, MDSilver Spring Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine David Alden Smith, MDKensington Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Mary Varkey, MDTowson Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Charlotte Anne Watts, MDTowson Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Sherry J. Weinstein-Mayer, MDBaltimore Harbor Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Miranda Efua Wellington, MDLargo Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Wanda J. Wicks, MDSouth Baltimore County Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Umme Yasmin, MDNorth Arundel Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Darren Joseph Young, DOGaithersburg Medical CenterAccepting new patients: No
Accepting new patients change
Ophthalmology Theresa R. Kramer, MDWoodlawn Medical Center
Name change
Ophthalmology Benjamin De Veyra Magno, MDKensington Medical Center
Name change
Ophthalmology Benjamin De Veyra Magno, MDGaithersburg Medical Center
Name change
Psychiatry Earl John Delacruz Mauricio, MDLargo Medical Center
Name change
Pulmonology Edward Len, MDLargo Medical Center
Name change
April 2021 Updates to existing Kaiser Permanente providers
126 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Virginia
Specialty Provider Type of Change
Cardiology Constantine J. Tziros, MDTysons Corner Medical Center
Name change
Cardiology Constantine J. Tziros, MDColonial Forge Medical Center
Name change
Family practice Frances Ding, DOSpringfield Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Riley Sean Maurice Dubois, MDHaymarket Crossroads Medical Center
Name change
Family practice Liliana Gomez-Medley, MDFalls Church Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Akila Vasanthan Iyer, MDHaymarket Crossroads Medical Center
Name change
Family practice Lisa Jenkins, MDFredericksburg Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Rachel Nicole Marquez, MDColonial Forge Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Britta Lynn Mayer, MDSpringfield Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Nivedita Mohanty, MDFalls Church Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Cristina Natalia P. Policarpio, MDWoodbridge Medical CenterAccepting new patients: No
Name change and Accepting new patients change
Family practice Claria L. Prior, DOWoodbridge Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Nader Hussein Silver, MDBurke Medical CenterAccepting new patients: No
Accepting new patients change
Family practice Jeannette Tao, MDBurke Medical CenterAccepting new patients: No
Accepting new patients change
April 2021 Updates to existing Kaiser Permanente providers
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 127
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Virginia (continued)
Specialty Provider Type of Change
Family practice Ashley A. Tennyson, MDFair Oaks Medical CenterAccepting new patients: Yes
Accepting new patients change
Family practice Minh-Chau Tran, MDReston Medical CenterAccepting new patients: No
Accepting new patients change
Gastroenterology Lakshmi Devi Nelson Lattimer, MDColonial Forge Medical CenterFalls Church Medical CenterSpringfield Medical Center
Name change
Gastroenterology Eric Richard Wollins, MDColonial Forge Medical CenterFalls Church Medical CenterSpringfield Medical Center
Name change
Gynecology, Ob/Gyn Jennifer Mathews Biggs, MDSpringfield Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Toinette O. Chin, MDFair Oaks Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Kondeh A. Greaves, MDHaymarket Crossroads Medical CenterAccepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Carrie Christine Klett, MDFair Oaks Medical Center
Name change
Gynecology, Ob/Gyn Simon Arn Wilson, MDFalls Church Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Rhanda Anwar Abd-Elfattah, MDFalls Church Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine M. Pamela Alexander, MDTysons Corner Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Khadija I. Alvi, MDAshburn Medical CenterAccepting new patients: No
Accepting new patients change
April 2021 Updates to existing Kaiser Permanente providers
128 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Virginia (continued)
Specialty Provider Type of Change
Internal medicine Rachel A. Burchard, MDWoodbridge Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Banti D. Chand, MDAshburn Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Vincent Chi-Min Chen, MDSpringfield Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Molly Clare Davis, MDManassas Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Suma Doppalapudi, MDAshburn Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Marie Phuong Huynh, MDBurke Medical CenterAccepting new patients: No
Name change and Accepting new patients change
Internal medicine Suneetha Devi Jagarlamudi, MDAshburn Medical Center
Name change
Internal medicine Geoffrey Stewart Long, MDReston Medical Center
Name change
Internal medicine Manasi Pandit Long, MDBurke Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Gopi V. Masalia, MDAshburn Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Priya Mathur, MDManassas Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Hafsa Syyida Mir, MDWoodbridge Medical Center
Name change
Internal medicine Adriana Marissa Montesinos Araujo, MDSpringfield Medical CenterAccepting new patients: No
Accepting new patients change
April 2021 Updates to existing Kaiser Permanente providers
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 129
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Virginia (continued)
Specialty Provider Type of Change
Internal medicine Hoang-An N. Nguyen, MDAshburn Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Thu Bich Nguyen, MDFair Oaks Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Juan Carlos Ortiz Perez, MDWoodbridge Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Bhavin Manubhai Patel, MDWoodbridge Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Carole Assaad Shaddad, MDSpringfield Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Lellise Taye Shewakena, MDReston Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Elena Short, MDWoodbridge Medical CenterAccepting new patients: Yes
Accepting new patients change
Internal medicine Sebastian Anthony Sicari, DOFredericksburg Medical Center
Name change
Internal medicine Julie C. Sim, MDFredericksburg Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine Jason Singh, MDManassas Medical CenterAccepting new patients: No
Accepting new patients change
Internal medicine William Carl Stallard, MDSpringfield Medical CenterAccepting new patients: No
Accepting new patients change
Orthopedic surgery Marc Anthony Kouyoumdjian, MDFair Oaks Medical Center
Name change
Plastic surgery Chun Hyoung Rhim, MDSpringfield Medical CenterTysons Corner Medical Center
Name change
April 2021 Updates to existing Kaiser Permanente providers
130 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Virginia (continued)
Specialty Provider Type of Change
Psychiatry Linda Ruth Ojo, MDBurke Medical Center
Name change
Rheumatology Lynda Seeta Tilluckdharry, MDColonial Forge Medical CenterSpringfield Medical Center
Name change
Urology James Ritchie Jezior, MDColonial Forge Medical CenterFair Oaks Medical CenterTysons Corner Medical Center
Name change
November 2021 Updates to existing network specialists
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 131
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.
Maryland
Specialty Provider Type of Change
Chiropractor Kathryn M. Bennett, DCJeffrey N. Wallace, DC PC330 140 Village RoadUnit 9AWestminster, MD 211571-410-876-8881
Address/phone change
Chiropractor Mary Beth Green, DCAnnapolis Pain Management45 Old Solomons Island RoadSuite 205Annapolis, MD 214011-410-224-4348
Name change
Chiropractor Eric Scott Horne, DCHorne Chiropractic Center PA3820 Mountain RoadSuites B & CPasadena, MD 211221-410-437-2600
Name change
Chiropractor Eung K. Kim, DCKim Chiropractic Clinic, PA8860 Columbia 100 ParkwaySuite 311Columbia, MD 210451-410-715-3500
12230 Rockville PikeSuite 250Rockville, MD 208521-301-881-1000
Name change
Chiropractor Cheryl A. Lee Pow, DCPow-Her Chiropractic LLC600 Jefferson PlazaSuite 350Rockville, MD 208521-301-279-9009
Name change
Updates to existing network specialists – November 2021
November 2021 Updates to existing network specialists
132 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Chiropractor Danielle L. Orlando Kepner, DCHealthbridge Chiropractic Associates LLC137 E. BroadwayBel Air, MD 210141-410-638-2424
Name change
Chiropractor Nicole M. Perez, DCAlan K. Sokoloff, PC331 Oak Manor DriveSuite 101Glen Burnie, MD 210611-410-766-4878
Name change
Chiropractor Jeffrey N. Wallace, DCJeffrey N. Wallace, DC PC330 140 Village RoadUnit 9AWestminster, MD 211571-410-876-8881
Address/phone change
Chiropractor Pamela J. Woodward Terranova, DCFirst Step Chiropractic LLC1501 Sulgrave Ave.Suite 302Baltimore, MD 212091-443-869-3626
Name change
General surgery Suzanne L. Topalian, MDJohns Hopkins University401 N BroadwayBaltimore, MD 212871-443-997-1508
Address/phone change
Gynecology, Ob/Gyn Amanda L. Horton, MDJohns Hopkins University601 N Caroline St.JHOC 6th FloorBaltimore, MD 212871-410-955-8240
Address/phone change
November 2021 Updates to existing network specialists
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 133
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Gynecology, Ob/Gyn Cornelia L. Trimble, MDJohns Hopkins University601 N Caroline St., JHOC 6th FloorBaltimore, MD 212871-410-955-8240
Address/phone change
Infectious diseases Justin R. Bailey, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-410-502-2128
Address/phone change
Oncology–medical, surgical
Nilofer S. Azad, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980
Address/phone change
Oncology–medical, surgical
Ivan M. Borrello, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980
Address/phone change
Oncology–medical, surgical
William B. Dalton, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980
Address/phone change
Oncology–medical, surgical
Mario A. Eisenberger, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980
Address/phone change
Oncology–medical, surgical
David S. Ettinger, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980
Address/phone change
November 2021 Updates to existing network specialists
134 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of ChangeOncology–medical, surgical
Arlene Forastiere, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980
Address/phone change
Oncology–medical, surgical
Patrick Forde, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980
Address/phone change
Oncology–medical, surgical
Ephraim J. Fuchs, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980
Address/phone change
Oncology–medical, surgical
Stuart Grossman, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980
Address/phone change
Oncology–medical, surgical
Elizabeth M. Jaffee, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980
Address/phone change
Oncology–medical, surgical
Evan J. Lipson, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980
Address/phone change
Oncology–medical, surgical
Leonido Luznik, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980
Address/phone change
November 2021 Updates to existing network specialists
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 135
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Oncology–medical, surgical
Kenneth J. Pienta, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980
Address/phone change
Oncology–medical, surgical
Margaret M. Showel, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980
Address/phone change
Oncology–medical, surgical
Kala Visvanathan, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980
Address/phone change
Oncology–radiation/Radiation oncology
Sara R. Alcorn, MDJohns Hopkins University401 N BroadwayBaltimore, MD 212871-410-955-6980
Address/phone change
Oncology–radiation/Radiation oncology
Fariba Asrari, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980
Address/phone change
Oncology–radiation/Radiation oncology
Russell K. Hales, MDJohns Hopkins University4940 Eastern Ave.Kimmel Cancer CenterBaltimore, MD 212241-410-550-1711
Address/phone change
Oncology–radiation/Radiation oncology
Ana P. Kiess, MDJohns Hopkins University401 N BroadwayBaltimore, MD 212871-410-955-6980
Address/phone change
November 2021 Updates to existing network specialists
136 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Oncology–radiation/Radiation oncology
Harry Quon, MDJohns Hopkins University600 N Wolfe St.JHH Weinberg 5BBaltimore, MD 212871-410-955-8880
Address/phone change
Oncology–radiation/Radiation oncology
Jean L. Wright, MDJohns Hopkins University401 N BroadwayBaltimore, MD 212871-410-955-6980
Address/phone change
Virginia
Specialty Provider Type of Change
Chiropractor Jong Hee Cho, DCT & J Chiropractic Inc10680 Main St.Suite 275Fairfax, VA 220301-703-539-8822
Name change
Chiropractor Jesus M. Diaz, DCMomentum Chiropractic and Rehab LLC9705 Liberia Ave. Suite 351Manassas, VA 201101-703-369-2559
Name change
Chiropractor Daniel R. Freeman, DCUnited Wellness Center andSports Rehab Falls Church510 W Annandale RoadSuite 300Falls Church, VA 220461-703-660-8208
Name change
Chiropractor Cameron L. Hatam, DCVirginia Family Chiropractic & PM, PLLC8420 Dorsey Circle, Suite 101Manassas, VA 201101-703-367-7878
Address/phone change
November 2021 Updates to existing network specialists
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 137
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Virginia (continued)
Specialty Provider Type of Change
Chiropractor Cameron Hatam, DCVirginia Family Chiropractic & PM, PLLC5130 Duke St.Suite 114Alexandria, VA 223041-703-370-5300
7121 Leesburg PikeSuite 207Falls Church, VA 220431-703-538-3830
8420 Dorsey CircleSuite 101Manassas, VA 201101-703-370-5300
14904 Jefferson Davis HighwaySuite 301Woodbridge, VA 221911-703-499-8840
Name change
Chiropractor Samer R. Masri, DCChiro Physical Medicine LLC3801 Fairfax DriveSuite 12Arlington, VA 222031-703-243-7878
Name change
Chiropractor Peter J. McGarry, DCPalmercare Chiropractic Centreville Inc14215E Centreville SquareCentreville, VA 201211-703-222-3737
Name change
Chiropractor Alexander McMinn, DCPotomac Family and Sports Chiropractic21351 Gentry DriveSuite 125Sterling, VA 201661-703-406-8686
Name change
November 2021 Updates to existing network specialists
138 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Virginia (continued)
Specialty Provider Type of Change
Chiropractor Hirad Najaf Bagy, DCUnited Wellness Center and Sports Rehab Falls Church510 W Annandale RoadSuite 300Falls Church, VA 220461-703-660-8208
1886 Metro Center DriveSuite 100Reston, VA 201901-703-437-8195
Name change
Chiropractor Ghazaleh Tabrizi, DCVirginia Family Chiropractic & PM, PLLC8420 Dorsey CircleSuite 101Manassas, VA 201101-703-367-7878
Address/phone change
Chiropractor Jennifer L. Taschler, DCJennifer M. Lee, Ltd10301 Democracy LaneSuite 110Fairfax, VA 220301-703-293-2939
Name change
Chiropractor Mohammed Yousefi, DCAshburn Chiropractic & Rehab Center PC44121 Harry Byrd HighwaySuite 125Ashburn, VA 201471-703-723-0000
Woodbridge Chiropractic & Pain Management3945 Prince William ParkwayWoodbridge, VA 221921-703-730-9222
Name change
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 139
October 2021 Updates to existing network specialists
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.
District of Columbia
Specialty Provider Type of Change
Gastroenterology Firas H. Al-Kawas, MDJohns Hopkins University5255 Loughboro Road NWWashington, DC 200161-202-537-4560
Address/phone change
Pulmonology Andrew D. Lerner, MDJohns Hopkins University5215 Loughboro Road NWSuite 420Washington, DC 200161-202-660-7509
Address/phone change
Maryland
Specialty Provider Type of Change
Gynecology, Ob/Gyn Barbara K. Estes, MDCalvertHealth Medical Group LLC14090 HG Trueman RoadSuite 2600Solomons, MD 206881-410-414-9017
Address/phone change
Gynecology, Ob/Gyn Hilary W. Ginter, MDCalvertHealth Medical Group LLC14090 HG Trueman RoadSuite 2600Solomons, MD 206881-410-414-9017
Address/phone change
Gynecology, Ob/Gyn Michelle D. Johnson, MDCalvertHealth Medical Group LLC14090 HG Trueman RoadSuite 2600Solomons, MD 206881-410-414-9017
Address/phone change
Updates to existing network specialists – October 2021
140 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
October 2021 Updates to existing network specialists
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Gynecology, Ob/Gyn Aparajita K. Mahata, MDCalvertHealth Medical Group LLC14090 HG Trueman RoadSuite 2600Solomons, MD 206881-410-414-9017
Address/phone change
Infectious diseases Chandralekha Banerjee, MDAnthony & Banerjee, MD PA5601 Loch Raven Blvd.Suite 100Baltimore, MD 212391-443-444-5835
Address/phone change
Neurosurgery Henry Brem, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-410-955-8080
Address/phone change
Orthopedic surgery Rajwinder S. Deu, MDJohns Hopkins University10700 Charter DriveSuite 205Columbia, MD 210441-443-997-6754
Address/phone change
Orthopedic surgery Amit Jain, MDJohns Hopkins University10700 Charter DriveSuite 205Columbia, MD 210441-443-997-6754
Address/phone change
Orthopedic surgery Julius K. Oni, MDJohns Hopkins University10700 Charter DriveSuite 205Columbia, MD 210441-443-997-6754
Address/phone change
September 2021 Updates to existing network specialists
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 141
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.
District of Columbia
Specialty Provider Type of Change
Cardiology Nelson L. Bernardo, MDWashington Hospital Center Physicians Group110 Irving St. NWWashington, DC 200101-202-877-7259
Address/phone change
Maryland
Specialty Provider Type of Change
Allergy and Immunology Lawrence S. Schieken, MDComprehensive Asthma and Allergy Center10910 Little Patuxent ParkwaySuite 202Columbia, MD 210441-410-997-7575
Address/phone change
Cardiology Scott A. Berkowitz, MDJohns Hopkins University601 N Caroline St.JHOC 1st FloorBaltimore, MD 212871-443-997-0270
Address/phone change
Cardiology Michael J. Blaha, MDJohns Hopkins University601 N Caroline St.8th FloorBaltimore, MD 212871-443-997-1800
Address/phone change
Cardiology Roger S. Blumenthal, MDJohns Hopkins University601 N Caroline St.JHOC 1st FloorBaltimore, MD 212871-443-997-0270
Address/phone change
Updates to existing network specialists – September 2021
September 2021 Updates to existing network specialists
142 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Cardiology Oscar H. Cingolani, MDJohns Hopkins University601 N Caroline St.JHOC 1st FloorBaltimore, MD 212871-443-997-0270
Address/phone change
Cardiology Jeffrey F. Cole, MDSt. Agnes Healthcare, Inc3449 Wilkens Ave.Suite 300Baltimore, MD 212291-410-368-9992
Address/phone change
Cardiology Russell E. Hillsley, MDSt. Agnes Healthcare, Inc3449 Wilkens Ave.Suite 300Baltimore, MD 212291-410-368-9992
Address/phone change
Cardiology Carlos S. Ince Jr., MDSt. Agnes Healthcare, Inc3449 Wilkens Ave.Suite 300Baltimore, MD 212291-410-368-9992
Address/phone change
Cardiology Steven R. Jones, MDJohns Hopkins University601 N Caroline St.JHOC 1st FloorBaltimore, MD 212871-443-997-0270
Address/phone change
Cardiology Aravindan Kolandaivelu, MDJohns Hopkins University4940 Eastern Ave.Pavillion 4 Cardiac TestingBaltimore, MD 212241-410-550-3384
601 N Caroline St.JHOC 1st FloorBaltimore, MD 212871-443-997-0270
Address/phone change
September 2021 Updates to existing network specialists
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 143
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Cardiology Brian G. Kral, MDJohns Hopkins University601 N Caroline St.JHOC 1st FloorBaltimore, MD 212871-443-997-0270
Address/phone change
Cardiology Frederick E. Kuhn Jr., MDSt. Agnes Healthcare, Inc3449 Wilkens Ave., Suite 300Baltimore, MD 212291-410-368-9992
Address/phone change
Cardiology Chiadi E. Ndumele, MDJohns Hopkins University601 N Caroline St.JHOC 1st FloorBaltimore, MD 212871-443-997-0270
Address/phone change
Cardiology Raymond H. Plack, MDSt. Agnes Healthcare, Inc3449 Wilkens Ave., Suite 300Baltimore, MD 212291-410-368-9992
Address/phone change
Cardiology Stephen J. Plantholt, MDSt. Agnes Healthcare, Inc3449 Wilkens Ave.Suite 300Baltimore, MD 212291-410-368-9992
Address/phone change
Cardiology Steven P. Schulman, MDJohns Hopkins University601 N Caroline St.JHOC 1st FloorBaltimore, MD 212871-443-997-0270
Address/phone change
Cardiology Harikrishna Tandri, MDJohns Hopkins University601 N Caroline St.JHOC 1st FloorBaltimore, MD 212871-443-997-0270
Address/phone change
September 2021 Updates to existing network specialists
144 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Cardiology Jeffrey C. Trost, MDJohns Hopkins University601 N Caroline St.JHOC 1st FloorBaltimore, MD 212871-443-997-0270
Address/phone change
Cardiology Robert G. Weiss, MDJohns Hopkins University4924 Campbell Blvd.White Marsh, MD 212361-443-442-2300
Address/phone change
Cardiology Marlene S. Williams, MDJohns Hopkins University4940 Eastern Ave.Pavillion 4 Cardiac TestingBaltimore, MD 212241-410-550-3384
Address/phone change
Cardiology Stephen B. Williams, MDJohns Hopkins University601 N Caroline St.JHOC 1st FloorBaltimore, MD 212871-443-997-0270
Address/phone change
Cardiology Katherine C. Wu, MDJohns Hopkins University601 N Caroline St.JHOC 1st FloorBaltimore, MD 212871-443-997-0270
Address/phone change
Cardiothoracic surgery Sanjiv Lakhanpal, MDCenter for Vein Restoration MD LLC1600 Crain Highway S, Suite 408Glen Burnie, MD 210611-855-830-8346
Address/phone change
Cardiothoracic surgery Sanjiv Lakhanpal, MDCVM Prince Frederick LLC301 Steeple Chase DriveSuite 401Prince Frederick, MD 206781-855-830-8346
Address/phone change
September 2021 Updates to existing network specialists
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 145
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Cardiothoracic surgery Thomas C. Militano, MDCenter for Vein Restoration MD LLC1600 Crain Highway SSuite 408Glen Burnie, MD 210611-855-830-8346
Address/phone change
Chiropractor Patricia M. Beall, DCEffective Chiropractic683 Old Mill RoadMillersville, MD 211081-410-729-2200
Effective Integrative Healthcare LLC1625 Crofton CenterCrofton, MD 211141-410-451-4640
681 Old Mill RoadMillersville, MD 211081-410-729-2200
Name change
Family practice Eric C. Marshall, MDGerald Family Care7940 Johnson Ave.Glen Arden, MD 207061-301-364-3200
Address/phone change
Gastroenterology Gihan H. Naguib, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-410-955-5250
Address/phone change
General surgery Arun Chowla, MDCenter for Vein Restoration MD LLC1600 Crain Highway SSuite 408Glen Burnie, MD 210611-855-830-8346
Address/phone change
General surgery Shekeeb Sufian, MDCenter for Vein Restoration MD LLC1600 Crain Highway SSuite 408Glen Burnie, MD 210611-855-830-8346
Address/phone change
September 2021 Updates to existing network specialists
146 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Gynecology, Ob/Gyn Michelle C. Nguyen, MDCenter for Vein Restoration MD LLC1600 Crain Highway SSuite 408Glen Burnie, MD 210611-855-830-8346
Address/phone change
Gynecology, Ob/Gyn Theresa M. Soto, MDCenter for Vein Restoration MD LLC1600 Crain Highway SSuite 408Glen Burnie, MD 210611-855-830-8346
Address/phone change
Gynecology, Ob/Gyn Priya S. Thirumlai, MDCenter for Vein Restoration MD LLC1600 Crain Highway SSuite 408Glen Burnie, MD 210611-855-830-8346
Address/phone change
Infectious diseases Mamuka Machaidze, MDJohns Hopkins University4940 Eastern Ave.Baltimore, MD 212241-410-550-0596
Address/phone change
Neurology Mackenzie C. Cervenka, MDJohns Hopkins University4940 Eastern Ave.Baltimore, MD 212241-410-550-0875
Address/phone change
Neurosurgery Sheng-Fu L. Lo, MDJohns Hopkins University1800 Orleans St.Baltimore, MD 212871-410-955-5000
Address/phone change
Neurosurgery Mark G. Luciano, MDJohns Hopkins University1800 Orleans St.Baltimore, MD 212871-410-955-5000
Address/phone change
September 2021 Updates to existing network specialists
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 147
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Ophthalmology Ashley Behrens, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-410-955-5720
Address/phone change
Ophthalmology Nicholas R. Mahoney, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-410-955-2280
Address/phone change
Ophthalmology Timothy J. McCulley, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-410-955-5720
Address/phone change
Ophthalmology Christina R. Prescott, MDJohns Hopkins University1800 Orleans St.Maumenee LobbyBaltimore, MD 212871-410-955-5650
Address/phone change
Ophthalmology Fasika A. Woreta, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-410-955-5720
Address/phone change
Ophthalmology Jithin Yohannan, MDJohns Hopkins University1800 Orleans St.Maumenee LobbyBaltimore, MD 212871-410-955-5650
Address/phone change
Physical medicine & rehabilitation
Levan Atanelov, MDJohns Hopkins University4940 Eastern Ave.BMO Bldg Level 1Baltimore, MD 212241-443-997-5476
Address/phone change
September 2021 Updates to existing network specialists
148 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Physical medicine & rehabilitation
Pablo A. Celnik, MDJohns Hopkins University4940 Eastern Ave.BMO Bldg Level 1Baltimore, MD 212241-443-997-5476
Address/phone change
Physical medicine & rehabilitation
Tae Hwan Chung, MDJohns Hopkins University4940 Eastern Ave.BMO Bldg Level 1Baltimore, MD 212241-443-997-5476
Address/phone change
Physical medicine & rehabilitation
Dominique L. Vinh, MDJohns Hopkins University4940 Eastern Ave.BMO Bldg Level 1Baltimore, MD 212241-443-997-5476
Address/phone change
Plastic surgery Stephane Corriveau, MDCenter for Vein Restoration MD LLC1600 Crain Highway SSuite 408Glen Burnie, MD 210611-855-830-8346
Address/phone change
Pulmonology Andrew D. Lerner, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-410-614-5867
Address/phone change
Pulmonology Richard S. Squires, MDRichard S. Squires, MD LLC7610 Carroll Ave., Suite 360Takoma Park, MD 209121-202-526-4600
Address/phone change
Urology Arthur L. Burnett, MDJohns Hopkins University601 N Caroline St.JHOC 4th FloorBaltimore, MD 212871-410-955-6100
Address/phone change
September 2021 Updates to existing network specialists
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 149
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Urology Heather N. Di Carlo, MDJohns Hopkins University601 N Caroline St.JHOC 4th FloorBaltimore, MD 212871-410-955-6100
Address/phone change
Urology Brian R. Matlaga, MDJohns Hopkins University601 N Caroline St.JHOC 4th FloorBaltimore, MD 212871-410-955-6100
Address/phone change
Urology Jacek L. Mostwin, MDJohns Hopkins University601 N Caroline St.JHOC 4th FloorBaltimore, MD 212871-410-955-6100
Address/phone change
Urology Alan W. Partin, MDJohns Hopkins University601 N Caroline St.JHOC 4th FloorBaltimore, MD 212871-410-955-6100
Address/phone change
Urology Patrick C. Walsh, MDJohns Hopkins University601 N Caroline St.JHOC 4th FloorBaltimore, MD 212871-410-955-6100
Address/phone change
August 2021 Updates to existing network specialists
150 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.
Maryland
Specialty Provider Type of Change
Internal medicine Anthony J. Harrell, MDJHCP at Greater Dundalk2112 Dundalk Ave.Baltimore, MD 212221-410-288-4800Accepting new patients: No
Accepting new patients change
Oncology/Hematology Kristen A. Marrone, MDJohns Hopkins University1800 Orleans St.Baltimore, MD 212871-410-955-8525
Address/phone change
Oncology/Hematology Donald Small, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-443-997-5437
Address/phone change
Rheumatology Allan C. Gelber, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-301-896-3100
Address/phone change
Updates to existing network specialists – August 2021
July 2021 Updates to existing network specialists
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 151
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.
Maryland
Specialty Provider Type of Change
Gynecology, Ob/Gyn Shijun Huang, MDSt. Agnes Healthcare, Inc900 Caton Ave.Baltimore, MD 212291-667-234-2626
Address/phone change
Gynecology, Ob/Gyn Ishrat Rafi, MDSt. Agnes Healthcare, Inc900 Caton Ave.Baltimore, MD 212291-667-234-2626
Address/phone change
Pulmonology Abdul Rahman, MDEmergency Medicine Associates200 Memorial Ave.Westminster, MD 211571-410-848-3000
Address/phone change
Updates to existing network specialists – July 2021
June 2021 Updates to existing network specialists
152 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.
Maryland
Specialty Provider Type of Change
Internal medicine Karen L. Bledsoe, MDFord Medical Associates PA7404 Executive PlaceSuite 501Lanham, MD 207061-301-262-0260
Address/phone change
Internal medicine Kevin M. Ford, MDFord Medical Associates PA7404 Executive PlaceSuite 501Lanham, MD 207061-301-262-0260
Address/phone change
Neurology Christa W. Habela, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-410-955-6080
601 N Caroline St.JHOC 5th FloorBaltimore, MD 212871-410-955-9441
Address/phone change
Neurology Amir Kheradmand, MDJohns Hopkins University601 N Caroline St.JHOC 5th FloorBaltimore, MD 212871-410-955-9441
Address/phone change
Neurology Michael D. Kornberg, MDJohns Hopkins University601 N Caroline St.JHOC 5th FloorBaltimore, MD 212871-410-955-9441
Address/phone change
Updates to existing network specialists – June 2021
June 2021 Updates to existing network specialists
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 153
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Neurology Shiv Saidha, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-410-955-6080
Address/phone change
Oncology/Hematology Nicholas A. DeMonaco, MDMaryland Oncology Hematology PA8116 Good Luck RoadSuite 100Lanham, MD 207061-301-812-3900
Address/phone change
Oncology/Hematology Rita Gupta, MDMaryland Oncology Hematology PA8116 Good Luck RoadSuite 100Lanham, MD 207061-301-812-3900
Address/phone change
Oncology/Hematology Bryan C. Hambley, MDEmergency Medicine Associates200 Memorial RoadLanham, MD 207061-301-552-8118
Address/phone change
Oncology/Hematology Jose L. Mendoza, MDMaryland Oncology Hematology PA8116 Good Luck RoadSuite 100Lanham, MD 207061-301-812-3900
Address/phone change
Oncology/Hematology Jun F. Sun, MDMaryland Oncology Hematology PA8116 Good Luck RoadSuite 100Lanham, MD 207061-301-812-3900
Address/phone change
Oncology/Hematology Deepnarayan Tiwarri, MDMaryland Oncology Hematology PA8116 Good Luck RoadSuite 100Lanham, MD 207061-301-812-3900
Address/phone change
June 2021 Updates to existing network specialists
154 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Orthopedic surgery John Tis, MDJohns Hopkins University1106 Annapolis RoadOdenton, MD 211131-410-502-9937
Name change
Orthopedic surgery John Tis, MDJohns Hopkins University601 N Caroline St.Baltimore, MD 212871-410-955-3870
4940 Eastern Ave.Baltimore, MD 212241-443-997-2663
Name change
Orthopedic surgery John Tis, MDJohns Hopkins University10710 Charter DriveColumbia, MD 210441-410-955-3870
Name change
Podiatry Peter N. Brieloff, DPMFoot and Ankle Specialists of the Mid-Atlantic2730 University Blvd. WSuite 1000Wheaton, MD 209021-301-949-6500
Address/phone change
Podiatry Emmanuella M. Eastman, DPMFoot and Ankle Specialists of the Mid-Atlantic2730 University Blvd. WSuite 1000Wheaton, MD 209021-301-949-6500
Address/phone change
Podiatry Adam K. Spector, DPMFoot and Ankle Specialists of the Mid-Atlantic2730 University Blvd. WSuite 1000Wheaton, MD 209021-301-949-6500
Address/phone change
June 2021 Updates to existing network specialists
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 155
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Pulmonology Andrew D. Lerner, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-443-997-0286
Address/phone change
Pulmonology Abdul Rahman, MDEmergency Medicine Associates200 Memorial RoadLanham, MD 207061-301-552-8118
Address/phone change
Urology Leslie M. Abramowitz, MDChesapeake Urology Associates1838 Greene Tree Road, Suite 460Baltimore, MD 212081-410-581-1600
Address/phone change
Urology Bruce W. Berger, MDChesapeake Urology Associates1838 Greene Tree Road, Suite 460Baltimore, MD 212081-410-581-1600
Address/phone change
Urology Rian J. Dickstein, MDChesapeake Urology Associates1838 Greene Tree Road, Suite 460Baltimore, MD 212081-410-581-1600
Address/phone change
Urology Steven R. Jaskulsky, MDChesapeake Urology Associates1838 Greene Tree Road, Suite 460Baltimore, MD 212081-410-581-1600
Address/phone change
Urology Kelly C. Johnson, MDChesapeake Urology Associates1838 Greene Tree Road, Suite 460Baltimore, MD 212081-410-581-1600
Address/phone change
Urology Nicholas T. Leone, MDChesapeake Urology Associates1838 Greene Tree Road, Suite 460Baltimore, MD 212081-410-581-1600
Address/phone change
June 2021 Updates to existing network specialists
156 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Urology Reynaldo P. Madrinan, MDChesapeake Urology Associates1838 Greene Tree Road, Suite 460Baltimore, MD 212081-410-581-1600
Address/phone change
Urology Marnie R. Robinson, MDChesapeake Urology Associates1838 Greene Tree Road, Suite 460Baltimore, MD 212081-410-581-1600
Address/phone change
Urology Andrew M. Shapiro, MDChesapeake Urology Associates1838 Greene Tree Road, Suite 460Baltimore, MD 212081-410-581-1600
Address/phone change
Urology David B. Sigman, MDChesapeake Urology Associates1838 Greene Tree Road, Suite 460Baltimore, MD 212081-410-581-1600
Address/phone change
Urology Geoffrey N. Sklar, MDChesapeake Urology Associates1838 Greene Tree Road, Suite 460Baltimore, MD 212081-410-581-1600
Address/phone change
Urology Jayant Uberoi, MDChesapeake Urology Associates1838 Greene Tree Road, Suite 460Baltimore, MD 212081-410-581-1600
Address/phone change
Urology Paul S. Van Ziji, MDChesapeake Urology Associates1838 Greene Tree Road, Suite 460Baltimore, MD 212081-410-581-1600
Address/phone change
Urology Aaron Weinberg, MDChesapeake Urology Associates1838 Greene Tree Road, Suite 460Baltimore, MD 212081-410-581-1600
Address/phone change
May 2021 Updates to existing network specialists
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 157
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.
Maryland
Specialty Provider Type of Change
Cardiology Lili A. Barouch, MDJohns Hopkins University5450 Knoll North DriveSuite 270Columbia, MD 210451-443-997-0270
Address/phone change
Cardiology Michael H. Kelemen, MDJohns Hopkins University5450 Knoll North DriveSuite 270Columbia, MD 210451-443-997-0270
Address/phone change
Cardiovascular surgery Glenn J. Whitman, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-410-955-8964
Address/phone change
Chiropractic services Hayford O. Anane, DCSpine Wellness Center7801 Old Branch Ave.Suite 402Clinton, MD 207351-240-244-2818
Address/phone change
Family practice Mark D. Phillips, MDJHCP at White Marsh4924 Campbell Blvd.Suite 200Nottingham, MD 212361-443-442-2300
Address/phone change
General surgery Bashar Safar, MDJohns Hopkins University10775 Falls RoadPavilion I Suite 460Lutherville, MD 210931-443-997-1508
Address/phone change
Updates to existing network specialists – May 2021
May 2021 Updates to existing network specialists
158 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Internal medicine Laurie A. Bothwell, MDJHCP at White Marsh4924 Campbell Blvd.Suite 200Nottingham, MD 212361-443-442-2300
Address/phone change
Internal medicine Naomi P. Cutler, MDJHCP at White Marsh4924 Campbell Blvd.Suite 200Nottingham, MD 212361-443-442-2300
Address/phone change
Internal medicine Joyce A. Dietrich, MDJHCP at White Marsh4924 Campbell Blvd.Suite 200Nottingham, MD 212361-443-442-2300
Address/phone change
Internal medicine Gregory B. Kelly, MDJHCP at White Marsh4924 Campbell Blvd.Suite 200Nottingham, MD 212361-443-442-2300
Address/phone change
Internal medicine Elizabeth Loeb, MDClinical Associates Baltimore1838 Greene Tree RoadSuite 225BPikesville, MD 212081-443-471-3270Accepting new patients: No
Accepting new patients change
Internal medicine Brent B. MacDonald, MDJHCP at White Marsh4924 Campbell Blvd.Suite 200Nottingham, MD 212361-443-442-2300
Address/phone change
May 2021 Updates to existing network specialists
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 159
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Internal medicine David Madder, DOJHCP at White Marsh4924 Campbell Blvd.Suite 200Nottingham, MD 212361-443-442-2300
Address/phone change
Internal medicine Swati D. Phatak, MDJHCP at White Marsh4924 Campbell Blvd.Suite 200Nottingham, MD 212361-443-442-2300
Address/phone change
Internal medicine Raymond H. Zollinger, MDJHCP at White Marsh4924 Campbell Blvd.Suite 200Nottingham, MD 212361-443-442-2300
Address/phone change
Neurology Charlene E. Gamaldo, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-410-955-5570
Address/phone change
Oncology/Hematology Thomas J. Smith, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-410-955-8915
Address/phone change
Ophthalmology Deborah A. Reid, MDRetina Associates, PC16900 Science DriveSuite 110Bowie, MD 207151-301-262-4351
Address/phone change
Ophthalmology Cuong D. Vu, MDRetina Associates, PC16900 Science DriveSuite 110Bowie, MD 207151-301-262-4351
Address/phone change
May 2021 Updates to existing network specialists
160 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Ophthalmology David R. Watt, MDRetina Associates, PC16900 Science DriveSuite 110Bowie, MD 207151-301-262-4351
Address/phone change
Ophthalmology Adam S. Wenick, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-410-955-5255
Address/phone change
Orthopedic surgery James R. Ficke, MDJohns Hopkins University4940 Eastern Ave.Baltimore, MD 212241-410-550-0596
Address/phone change
Otolaryngology James C. Denneny III, MDJohns Hopkins University6420 Rockledge DriveSuite 4920Bethesda, MD 208171-443-997-6467
Address/phone change
Radiation therapy Amar N. Rewari, MDAssociates in Radiation Medicine20330 Seneca Meadows ParkwayGermantown, MD 208761-301-795-0064
9905 Medical Center DriveSuite 100Rockville, MD 208501-301-309-6765
Name change
Urology Mohamad E. Allaf, MDJohns Hopkins University401 N Broadway St.Weinberg Bldg.Baltimore, MD 212871-410-955-6980
Address/phone change
May 2021 Updates to existing network specialists
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 161
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Urology Trinity J. Bivalacqua, MDJohns Hopkins University401 N Broadway St.Weinberg Bldg.Baltimore, MD 212871-410-955-6980
Address/phone change
Urology Misop Han, MDJohns Hopkins University401 N Broadway St.Weinberg Bldg.Baltimore, MD 212871-410-955-6980
Address/phone change
Urology Phillip M. Pierorazio, MDJohns Hopkins University4940 Eastern Ave.301 Building Suite 3200Baltimore, MD 212241-443-997-0400
Address/phone change
Urology Edward J. Wright III, MDJohns Hopkins University4940 Eastern Ave.Baltimore, MD 212241-410-550-0449
Address/phone change
April 2021 Updates to existing network specialists
162 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.
District of Columbia
Specialty Provider Type of Change
Oncology hematology Daya S. Sharma, MDGreater Washington Oncology Associates106 Irving St. NWSuite 418 SouthWashington, DC 200101-202-726-0941
Address/phone change
Maryland
Specialty Provider Type of Change
Internal medicine Sridevi Bellamkonda, MDJHCP at Germantown20500 Seneca Meadows PkwySuite 2400Germantown, MD 208761-240-912-2738Accepting new patients: Yes
Accepting new patients change
Internal medicine Barry I. Bercovitz, MDJHCP at Odenton1106 Annapolis RoadSuite 300Odenton, MD 211131-410-874-1400Accepting new patients: No
Accepting new patients change
Internal medicine Melissa E. Blakeman, MDJHCP at North Bethesda6000 Executive Blvd.Suite 625N Bethesda, MD 208521-240-314-7080Accepting new patients: Yes
Accepting new patients change
Updates to existing network specialists – April 2021
April 2021 Updates to existing network specialists
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 163
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Internal medicine Ritha Chea, MDJHCP at Glen Burnie7671 Quarterfield RoadSuite 401Glen Burnie, MD 210611-443-270-6760Accepting new patients: No
Accepting new patients change
Internal medicine Mark H. Davino, MDJHCP at Odenton1106 Annapolis RoadSuite 300Odenton, MD 211131-410-874-1400Accepting new patients: No
Accepting new patients change
Internal medicine Danny E. Lee, MDJHCP at Odenton1132 Annapolis RoadSuite 300Odenton, MD 211131-410-874-1400Accepting new patients: No
Accepting new patients change
Internal medicine Elizabeth Loeb, MDClinical Associates1838 Greene Tree RoadSuite 135Pikesville, MD 212081-443-471-0469Accepting new patients: No
Accepting new patients change
Internal medicine Hsin Yi A. Tang, MDJHCP at Glen Burnie7671 Quarterfield RoadSuite 401Glen Burnie, MD 210611-443-270-6760Accepting new patients: Yes
Accepting new patients change
Nephrology Rohan R. Rengen, MDFrederick Kidney Care Associates LLC140 Thomas Johnson DriveFrederick, MD 217021-800-424-6589
Address/phone change
April 2021 Updates to existing network specialists
164 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.
Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.
Maryland (continued)
Specialty Provider Type of Change
Oncology hematology Ram S. Trehan, MDGreater Washington Oncology Associates50 W Edmonston DriveSuite 600Rockville, MD 208521-301-593-9035
Address/phone change
Ophthalmology Cuong D. Vu, MDRetina Associates, PC7130 Minstrel WaySuite 120Columbia, MD 210451-410-997-4443
Address/phone change
Virginia
Specialty Provider Type of Change
Family practice Byong Kuk Kang, MDSanta Cruz Medical, Byong Kang8703 Stonewall RoadSuite 2BManassas, VA 201101-703-361-1955Accepting new patients: No
Accepting new patients change
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 165
November 2021 Facility – Terminations
Visit kp.org/directory for the most current information.
Durable medical equipment providers
Maryland
Howard County
Cranial Technologies Inc5450 Knoll North DriveSuite 340Columbia, MD 21045Main number: 1-844-447-5894
Montgomery County
Cranial Technologies Inc10750 Columbia PikeSuite 100Silver Spring, MD 20901Main number: 1-844-447-5894
Virginia
Fairfax County
Cranial Technologies Inc3299 Woodburn RoadSuite 320Annandale, VA 22003Main number: 1-844-447-5894
Loudoun County
Cranial Technologies Inc14 Pidgeon Hill DriveSuite 410Sterling, VA 20165Main number: 1-844-447-5894
166 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory
September 2021 Facility – Terminations
Visit kp.org/directory for the most current information.
Skilled nursing facilities
Maryland
Anne Arundel County
Spa Creek Center35 Milkshake LaneAnnapolis, MD 21403Main number: 1-410-269-5100
ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 167
July 2021 Facility – Terminations
Visit kp.org/directory for the most current information.
Skilled nursing facilities
District of Columbia
Transitions Health Care Capitol City LLC2425 25th St. SEWashington, DC 20020Main number: 1-202-889-3600
Surgical services (Outpatient or ASC)
Maryland
Howard County
Howard County Gastrointestinal Diagnostic Center10710 Charter DriveSuite 120Columbia, MD 21044Main number: 1-410-772-7345
Montgomery County
Surgery Center of Chevy Chase5530 Wisconsin Ave.Suite 1530Chevy Chase, MD 20815Main number: 1-301-718-9800