2020 Kaiser Permanente Medicare Plus (Cost) Provider

2019AR2565DEC

2020 Kaiser Permanente Medicare Plus (Cost)

Provider Directory Addendum

December 2020Please review the changes that have occurred to our provider network as of the effective date above. This document should be included with the complete 2020 Kaiser Permanente Medicare Plus (Cost) 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 30 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.

http://kp.org/directory

2 ADDENDUM — 2020 Kaiser Permanente Medicare Plus (Cost) 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

Annapolis Medical Center 888 Bestgate Road, Annapolis, MD 21401

1-410-571-7300

Additions Terminations

Internal medicineAnthony Boakye, MD

Columbia Gateway Medical Center 7070 Samuel Morse Drive, Columbia, MD 21046

1-410-309-4600


PsychiatryTerri Turner, MD

Gaithersburg Medical Center 655 Watkins Mill Road, Gaithersburg, MD 20879

1-240-632-4000


Oncology hematologyPamela Seam, MD

Kaiser Permanente Frederick Medical Center 7190 Crestwood Boulevard, Frederick, MD 21703

1-240-529-1700


Internal medicineMi Na Son, MD

December 2020 Kaiser Permanente providers – Additions and Terminations


ADDENDUM — 2020 Kaiser Permanente Medicare Plus (Cost) Provider Directory 3

Maryland (continued)


Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774

1-301-618-5500


OphthalmologyNeha Priyavadan Serrano, MD

Marlow Heights Medical Center 5100 Auth Way, Suitland, MD 20746

1-301-702-5000


Family practiceAdaobi U. Udenwa, MDGynecology, Ob/GynKimone A. Powell, MD

Shady Grove Medical Center 1396 Piccard Drive, Rockville, MD 20850

1-301-548-5700


GastroenterologyArushi Defonseka, MD






Towson Medical Center 1447 York Road, Suite 100, Lutherville, MD 21093

1-410-339-5500


DermatologyMaren Golding Shaw, MDFamily practiceSabaina Arshad, MDGastroenterologyArpan H. Patel, MD

White Marsh Medical Center 4920 Campbell Boulevard, Nottingham, MD 21236

1-410-933-7600


PsychiatryCarmen Fulton, MDIngrid Chelagat Orinda, MD

Virginia

Burke Medical Center 5999 Burke Commons Road, Burke, VA 22015

1-703-249-7700


Internal medicineChantal D. Lewis, MD




Virginia (continued)


Fair Oaks Medical Center 12255 Fair Lakes Parkway, Fairfax, VA 22033

1-703-934-5700


Internal medicineIsaias Tesfazion, MD

Falls Church Medical Center 201 North Washington Street, Falls Church, VA 22046

1-703-237-4000


Internal medicineBryan Matthew Senisi, DOJune Bunploog Taheri, MD

Fredericksburg Medical Center 1201 Hospital Drive, Fredericksburg, VA 22401

1-540-368-3700


CardiologyJohn Seth Golden, MD

Springfield Medical Center 6501 Loisdale Court, Springfield, VA 22150

1-703-922-1000


Internal medicineBethune Grindley, MDStephanie Ng, DONeurologyRoderick V. Starkie, DO






Tysons Corner Medical Center 8008 Westpark Drive, McLean, VA 22102

1-703-287-6400


CardiologyJohn Seth Golden, MDGynecology, Ob/GynJanis Lynn Green, MDInternal medicineBahareh Soroori Rad, MDOrthopedic surgeryDonald Avram Saroff, MD

Woodbridge Medical Center 14139 Potomac Mills Road, Woodbridge, VA 22192

1-703-490-8400


Family practiceFetnat Faye Masri-Imadi, MD





Maryland


1-240-632-4000


Chronic pain managementDamon Frank Robinson, MD

Internal medicineLeszek Karowiec, MDPrathyusha Pagadala, MDNevi Patel, MD

UrologyRachel Shoshana Rubin, MD

Kensington Medical Center 10810 Connecticut Avenue, Kensington, MD 20895

1-301-929-7100


OtolaryngologySamaneh Ashktorab, MD

Thoracic surgeryRiny Albair Karras, MD


1-301-618-5500


Internal medicineKymia Khosrowani, MDAccepting new patients: Yes

Chronic pain managementDamon Frank Robinson, MDKamran Akhavan Saraf, MD

Internal medicineCynthia Chika Odogwu, MD

OtolaryngologySamaneh Ashktorab, MD

November 2020 Kaiser Permanente providers – Additions and Terminations






1-301-702-5000


Gynecology, Ob/GynRohini Boddu, MDShalanda R. Webb, MD

North Arundel Medical Center 7670 Quarterfield Road, Glen Burnie, MD 21061

1-410-508-7650


OphthalmologySupriya Goyal, MDBeth Erin Cunningham, MD

South Baltimore County Medical Center 1701 Twin Springs Road, Halethorpe, MD 21227

1-410-737-5000


General surgeryCatherine Skelley Denkler, MDAccepting new patients: Yes

Gynecology, Ob/GynNika Vinson, MDAccepting new patients: No







1-410-933-7600


PsychiatryElliott Mason Gauer, DOAccepting new patients: Yes

Woodlawn Medical Center 7141 Security Boulevard, Baltimore, MD 21244

1-443-663-6000


OphthalmologySupriya Goyal, MD

Virginia


1-703-237-4000


ENT/OtolaryngologyTawfiq Khoury, MDAccepting new patients: Yes


1-540-368-3700


Gynecology, Ob/GynMatthew J. Werner, MD






Manassas Medical Center 10701 Rosemary Drive, Manassas, VA 20109

1-703-257-3000


Internal medicineBeverly J. Pfister, MD


1-703-287-6400


PodiatryVirginia E. Parks, DPMAccepting new patients: Yes

General surgeryShirley Xing, DO





Maryland


1-240-632-4000


DermatologyCourtney Jade Ensslin, MDAccepting new patients: Yes

Internal medicineSahar Aslani Jahan, MDAccepting new patients: No

Ke Sun, MDAccepting new patients: Yes


1-301-618-5500


Gynecology, Ob/GynTina Musa, DOAccepting new patients: Yes

Prince George’s Medical Center 6525 Belcrest Road, Hyattsville, MD 20782

1-301-209-6000


Gynecology, Ob/GynKathleen D. Solomon, MDAccepting new patients: Yes

Internal medicineJihyun Ann Jun, DOAccepting new patients: Yes

October 2020 Kaiser Permanente providers – Additions and Terminations





Silver Spring Medical Center 12201 Plum Orchard Drive, Silver Spring, MD 20910

1-301-572-1000


Gynecology, Ob/GynJessica Marie Traylor, MDAccepting new patients: Yes

Virginia


1-703-249-7700


Family practiceNagui N. Saleh, MD


1-703-287-6400


CardiologyMichael John McArdle, MDAccepting new patients: Yes

General surgeryShani O.M. Belgrave-Heath, MDAccepting new patients: Yes

October 2020 Kaiser Permanente providers – Additions and Terminations




District of Columbia

Kaiser Permanente Capitol Hill Medical Center 700 Second Street NE, Washington, DC 20002

1-202-346-3000


GastroenterologyVictor Ciofoaia, MDAccepting new patients: Yes

Maryland


1-410-571-7300


Family practiceMing Y. Li, MDAccepting new patients: Yes

Kaiser Permanente Baltimore Harbor Medical Center 815 E. Pratt Street, Baltimore, MD 21202

1-410-637-5700


Gynecology, Ob/GynPaul Paetow, MDAccepting new patients: Yes

September 2020 Kaiser Permanente providers – Additions and Terminations






1-240-632-4000


Internal medicineChris C. Park, MDAccepting new patients: No


1-301-618-5500


CardiologyRuth Tamrat, MDAccepting new patients: Yes

PodiatryLonny Nodelman, DPM

GastroenterologyFolabomi Christianah Ajanaku, MDAccepting new patients: Yes

Internal medicineWilliam Edwin Towne, MDAccepting new patients: Yes

OphthalmologyRonak Sandeep Patel, MDAccepting new patients: Yes


1-410-508-7650


Gynecology, Ob/GynRubiliatu Abiola Akinwande, MDAccepting new patients: Yes







1-410-339-5500


Gynecology, Ob/GynAlyssa R. Hammer, MDAccepting new patients: No

Virginia


1-703-237-4000


PsychiatryLeonardo Cubillos, MDAccepting new patients: Yes


1-703-922-1000


GastroenterologyMitchell Kang, DOAccepting new patients: Yes







1-703-287-6400


DermatologyAnnalise Abiodun, MDAccepting new patients: Yes







1-202-346-3000


Oncology hematologyYun Whan Oh, MD

Maryland


1-410-571-7300


Gynecology, Ob/GynJulita A. Lett, MDAccepting new patients: Yes


1-240-529-1700


PsychiatryChristine Jeanette Lepoutre, MD

August 2020 Kaiser Permanente providers – Additions and Terminations






1-240-632-4000


NeurologyNatalia Maria Llanes, MDAccepting new patients: Yes

General surgerySameer Damle, MD

Oncology hematologyYun Whan Oh, MD


1-301-929-7100


General surgerySameer Damle, MD


1-301-618-5500


UrologyMichael Alan Fenstermaker, MDAccepting new patients: Yes

Physical medicine & rehabilitationMelissa Sinkiewicz, DO


1-301-209-6000


Internal medicineChioma Ohalete, DOAccepting new patients: Yes







1-301-548-5700


PsychiatryChristine Jeanette Lepoutre, MD


1-410-737-5000


Gynecology, Ob/GynCynthia Clunie Cesaire, MDAccepting new patients: No


1-410-339-5500


DermatologyJi Qi, MDAccepting new patients: Yes

Internal medicineEjikeme U. Nwokolo, MD


1-410-933-7600


Physical medicine & rehabilitationMelissa Sinkiewicz, DO





Virginia


1-703-237-4000


GastroenterologyBrian J. Swansiger, MD


1-540-368-3700



Reston Medical Center 1890 Metro Center Drive, Reston, VA 20190

1-703-709-1500


Gynecology, Ob/GynIssam Mahmoud Shebaro, MD


1-703-922-1000







Maryland

Camp Springs Medical Center 6104 Old Branch Avenue, Temple Hills, MD 20748

1-301-702-6100


Internal medicinePrem P. Manchanda, MD


1-240-632-4000


Internal medicineGhazaleh Rahbari, MDAccepting new patients: Yes


1-410-737-5000


Family practicePatricia Ann Cudjoe, MD

PodiatryNicole S. McCormack, DPM

July 2020 Kaiser Permanente providers – Additions and Terminations






1-410-339-5500


ENT/OtolaryngologyNidhi Gupta, MDAccepting new patients: Yes


1-443-663-6000


OphthalmologyEva Devience, MDAccepting new patients: Yes

Virginia


1-703-237-4000


DermatologyKatherine Marie Mercy, MD

July 2020 Kaiser Permanente providers – Additions and Terminations




Maryland


1-410-309-4600


Gynecology, Ob/GynAdina Maniu, MDAccepting new patients: Yes


1-301-548-5700


PsychiatryAnita Bansal, MDAccepting new patients: Yes

Virginia


1-703-287-6400


General surgeryMatthew Timothy Hueman, MDAccepting new patients: Yes

June 2020 Kaiser Permanente providers – Additions and Terminations






1-202-346-3000


GastroenterologyAndrew K. Sanderson II, MD

Maryland


1-240-632-4000


ENT/OtolaryngologyGregory R. Sater, MD

Gynecology, Ob/GynGary Neil Melnick, MD


1-301-929-7100


General surgeryAmadea Tette, MD

May 2020 Kaiser Permanente providers – Additions and Terminations






1-301-618-5500


GastroenterologyNicholas M. Szary, MD

OphthalmologyMansi Bhupendra Parikh, MD


1-410-508-7650


Gynecology, Ob/GynDiane Carol Boykin, MDAccepting new patients: Yes


1-301-209-6000


Internal medicineEllen Dena Finkelman, MD


1-301-548-5700


GastroenterologyNicholas M. Szary, MD







1-410-737-5000


ENT/OtolaryngologyAlpen Ajit Patel, MD


1-410-339-5500


ENT/OtolaryngologyAlpen Ajit Patel, MD


1-443-663-6000


OphthalmologySamantha Leigh Williamson, MD

Virginia


1-703-237-4000


OphthalmologySankara Mahesh, MD







1-540-368-3700


PulmonologyPhong Nguyen, MD


1-703-922-1000


Gynecology, Ob/GynSarah J. Sheikh, DO


1-703-287-6400


General surgeryCharles Valases, MD

OphthalmologySankara Mahesh, MD

Orthopedic surgerySidney G. Chetta, MDKenneth William Jackson, MD

PulmonologyPhong Nguyen, MD







1-202-346-3000


GastroenterologyAndrew K. Sanderson II, MDAccepting new patients: Yes

Maryland


1-240-632-4000


ENT/OtolaryngologyGregory R. Sater, MDAccepting new patients: Yes


1-301-929-7100


General surgeryAmadea Tette, MDAccepting new patients: Yes

Internal medicineSujina Pradhan, MDAccepting new patients: Yes

April 2020 Kaiser Permanente providers – Additions and Terminations






1-301-618-5500


ENT/OtolaryngologyMargot Elizabeth Clasquin, MDAccepting new patients: Yes

OphthalmologyMansi Bhupendra Parikh, MDAccepting new patients: Yes

Plastic surgeryMarilyn Quynh Nguyen, MDAccepting new patients: Yes

PulmonologyNancy MacGarvey, MDAccepting new patients: Yes


1-301-702-5000


Alternative medicineLonnie Joan Lee, MD


1-301-548-5700


GastroenterologyMelik T. Tiba, MDAccepting new patients: Yes







1-301-572-1000


Gynecology, Ob/GynSherita Denean Gaskins, MD


1-410-737-5000


General surgeryRamaz Metreveli, MDAccepting new patients: Yes

EndocrinologyMark Allan Walker, MD

Virginia

Centreville Medical Practice 14215E Centreville Square, Centreville, VA 20121


Internal medicineEsther Kim Bahk, MDAccepting new patients: Yes

Lovettsville Medical Practice 20 Town Square, Suite 130, Lovettsville, VA 20180


Internal medicineWilliam A. Thistlethwaite, MDAccepting new patients: Yes






Sterling Medical Practice 46167 Westlake Drive, Suite 300

Sterling, VA 20165


Internal medicineElena Short, MDAccepting new patients: Yes


1-703-287-6400


UrologyKai Li, MDAccepting new patients: Yes







1-202-346-3000


General surgeryEarl Hahn Lee, DOAccepting new patients: Yes

Jeffrey Pelton, MDAccepting new patients: Yes

Infectious diseasesMiriam Louise Cameron, MD

Maryland


1-240-632-4000


Gynecology, Ob/GynNeil J. Horlick, MDAccepting new patients: Yes

Chukwunonyeluanyi Okocha, MDAccepting new patients: Yes

Infectious diseasesMiriam Louise Cameron, MD


1-301-929-7100


Gynecology, Ob/GynHyacinth Lynne Norris, MDAccepting new patients: Yes

March 2020 Kaiser Permanente providers – Additions and Terminations






1-301-618-5500


Gynecology, Ob/GynAlyssa Nicole Small Layne, MDAccepting new patients: Yes

Oncology–medical, surgicalIdrees Mohamed Mian, MDAccepting new patients: Yes

OphthalmologyRuby Parikh, MDAccepting new patients: Yes


1-301-702-5000


Gynecology, Ob/GynRohini Boddu, MDAccepting new patients: Yes


1-301-548-5700


GastroenterologyIbironke Oduyebo, MDAccepting new patients: Yes







1-410-737-5000


General surgeryDavid Juan, MDAccepting new patients: Yes

PerinatologyPamela Lewis Matia, MDAccepting new patients: Yes


1-410-339-5500


Internal medicineDione Chua, MDAccepting new patients: Yes


1-410-933-7600


PsychiatrySvetlana L. Savchenko, MDAccepting new patients: Yes







1-443-663-6000


OphthalmologyAlice Soung Kim, MDAccepting new patients: Yes

Virginia


1-703-922-1000


Gynecology, Ob/GynSunana Chatrath, MDAccepting new patients: Yes

PodiatryChristopher Sullivan Bourke, DPMAccepting new patients: Yes


1-703-287-6400


General surgeryShirley Xing, DOAccepting new patients: Yes







1-202-346-3000


Gynecology, Ob/GynE. W. Emanuel, MDAccepting new patients: Yes

Maryland


1-410-309-4600


PsychiatryMamata Nataraj Mysore, MDAccepting new patients: Yes


1-240-632-4000


Internal medicineSarah Sreypoun Kin, MD


1-301-618-5500


DermatologyOmolara Mojisola Olowoyeye, MDAccepting new patients: Yes

February 2020 Kaiser Permanente providers – Additions and Terminations






1-301-209-6000


Internal medicineTinku Biswas, MDAccepting new patients: Yes


1-410-933-7600


Internal medicineMeeta Gulati, MDAccepting new patients: Yes


1-443-663-6000


Gynecology, Ob/GynJamie Lynn Vanartsdalen, MDAccepting new patients: Yes

February 2020 Kaiser Permanente providers – Additions and Terminations






1-202-346-3000


CardiologyAndrew Sunhoo Kim, MDAccepting new patients: Yes

General surgeryJoyce Wong, MDAccepting new patients: Yes

Internal medicineSheerin Habibullah, MDAccepting new patients: Yes

Travis Serafin Maestas, MDAccepting new patients: Yes

PodiatryAdam J. Toren, DPMAccepting new patients: Yes

Northwest DC Medical Office Building 2301 M Street, NW, Washington, DC 20037

1-202-419-6200


Internal medicineCassandra Jordani Batichon, MDAccepting new patients: Yes

PsychiatryShuo Sally He, MDAccepting new patients: Yes

January 2020 Kaiser Permanente providers – Additions and Terminations




Maryland

Kaiser Permanente Baltimore Harbor Medical Center 815 E. Pratt Street, Baltimore, MD 21202

1-410-637-5700


Infectious diseasesBrandon Eilertson, MDAccepting new patients: Yes

Internal medicineJustin Francis Capasso, MDAccepting new patients: Yes

Camp Springs Medical Center 6104 Old Branch Avenue, Temple Hills, MD 20748

1-301-702-6100


Internal medicineAmita Goyal, MDAccepting new patients: Yes

Yeneisha Greene, MDAccepting new patients: Yes


1-410-309-4600


PsychiatryAndrew Defries Davis, MDAccepting new patients: Yes

AddictionologyCheryl Bailey Salary, MD

PsychiatryCheryl Bailey Salary, MD







1-240-529-1700


Family practiceSean David Bourne, MDAccepting new patients: Yes

Internal medicineNeha Bhatia, MDAccepting new patients: Yes


1-240-632-4000


CardiologySalil Hemant Desai, MDAccepting new patients: Yes

Gynecology, Ob/GynAngela D. Thompson, MD

PulmonologyPaul C. Kleinow, MD

(continued)

DermatologyKara Yakish, MDAccepting new patients: Yes

Gynecology, Ob/GynNiloofar Ghassemzadeh, MDAccepting new patients: Yes

Heather Marie Murphy, MDAccepting new patients: Yes

Latashia Dionne Walker, MDAccepting new patients: Yes







1-240-632-4000


Internal medicineSo Yeon Chung, MDAccepting new patients: Yes

Sukhdeep Kaur, MDAccepting new patients: Yes

Nandakishore Nemarugommula, MDAccepting new patients: Yes

Darren Joseph Young, DOAccepting new patients: Yes

UrologyRachel Shoshana Rubin, MDAccepting new patients: Yes


1-301-929-7100


Internal medicinePamela Coffey, MDAccepting new patients: Yes

Amita Nediyedath Nair, MDAccepting new patients: Yes

Dinesha Thilangika Weerasinghe, MDAccepting new patients: Yes

Internal medicinePurwaai Chand Matriya, DODeena J. Shapiro, MD

OphthalmologyJack Eugene Manns, MDAccepting new patients: Yes

PerinatologyDana M. Smith, MDAccepting new patients: Yes







1-301-618-5500


Chronic pain managementKim Vuong Hoang, MDAccepting new patients: Yes

PulmonologyPaul C. Kleinow, MD

ENT/OtolaryngologyWilliam C. Gray, MDAccepting new patients: Yes

Infectious diseasesMaria A. Del Castillo Garcia, MDAccepting new patients: Yes

Internal medicineJuliana H. Aruna, MDAccepting new patients: Yes

Malori Monet Callender, MDAccepting new patients: Yes

OphthalmologyBenjamin Rubin, MDAccepting new patients: Yes

Neha Priyavadan Serrano, MDAccepting new patients: Yes

Orthopedic surgeryEric Yakish, MDAccepting new patients: Yes

PulmonologyEdward Kenneth Len, MDAccepting new patients: Yes

UrologyChristopher David Morrison, MDAccepting new patients: Yes

Todd Brian Tescher, MDAccepting new patients: Yes







1-410-508-7650


Family practiceOtibhor Igene, MDAccepting new patients: Yes

David Jang, MDAccepting new patients: No

OphthalmologyBeth Erin Cunningham, MDAccepting new patients: Yes

Physician’s Office Building–Holy Cross Hospital 1400 Forest Glen Road, Suite 330, Silver Spring, MD 20910

1-301-905-3500


Cardiothoracic surgeryNyen V. Chong, MDAccepting new patients: Yes


1-301-209-6000


Gynecology, Ob/GynLeslie J. Bizovi, MDAccepting new patients: Yes







1-301-548-5700


Family practiceChristina I. Gillespie, MDAccepting new patients: Yes

GastroenterologyArushi Defonseka, MDAccepting new patients: Yes


1-301-572-1000


PsychiatryMaria Lourdes Castineira Garcia, MDAccepting new patients: Yes


1-410-737-5000


CardiologyNatalia Berry, MDAccepting new patients: Yes

EndocrinologyMay Alattar, MDAccepting new patients: Yes

General surgeryCeline Richardson, MDAccepting new patients: Yes

(continued)







1-410-737-5000


Internal medicineJeffrey P. Katz, MDAccepting new patients: No

PodiatryNicole S. McCormack, DPMAccepting new patients: Yes


1-410-339-5500


DermatologyMaren Golding Shaw, MDAccepting new patients: Yes

Family practiceSabaina Arshad, MDAccepting new patients: Yes

GastroenterologyArpan H. Patel, MDAccepting new patients: Yes

Internal medicineCharlotte Anne Watts, MDAccepting new patients: Yes

NephrologyRohini Adhikarla, MDAccepting new patients: Yes

PodiatryTomika Coleman, DPMAccepting new patients: Yes







1-410-933-7600


Family practiceMarie Pereira, DOAccepting new patients: Yes

PsychiatryIngrid Chelagat Orinda, MDAccepting new patients: Yes


1-443-663-6000


Family practiceRaymond Dormevil, MDAccepting new patients: Yes

AddictionologyCheryl Bailey Salary, MD

PsychiatryCheryl Bailey Salary, MDInternal medicine

Faryal Zehra Nadeem, MDAccepting new patients: Yes

OphthalmologyTheresa Retue Kramer, MDAccepting new patients: Yes

Ok Hannah Park, MDAccepting new patients: Yes

PsychiatryHelen Bellete, MDAccepting new patients: Yes

Stephanie H. Walsh, MDAccepting new patients: Yes





Virginia

Ashburn Medical Center 43480 Yukon Drive, Suite 100, Ashburn, VA 20147

1-410-637-5700


Family practiceLora Elise Mackie, MD


1-703-249-7700


PsychiatryErik Frost, MDAccepting new patients: Yes

Cessar L. Scott, MDAccepting new patients: Yes

Colonial Forge Medical Center 125 Hospital Center Blvd, Suite 110, Stafford, VA 22554

1-540-602-6500


Family practiceMarissa M. Moultrie, MDAccepting new patients: Yes

Gynecology, Ob/GynNuru Abseno Robi, MDAccepting new patients: Yes






Fair Oaks Medical Center 12255 Fair Lakes Parkway, Fairfax, VA 22033

1-703-934-5700


Family practiceAndaleeb Rahman, MDAccepting new patients: Yes

Internal medicineArsalan Zaeem Khawaja, MDAccepting new patients: Yes


1-703-237-4000


PsychiatryRoss Elliot Goodwin, MDAccepting new patients: Yes


1-540-368-3700


EndocrinologySandeep K. Dhaliwal, MDAccepting new patients: Yes

Internal medicineJose L. Mira Jr., MDAccepting new patients: Yes






Haymarket Crossroads Medical Center 15050 Heathcote Boulevard, Haymarket, VA 20169

1-571-445-7200


Family practiceTejal Dharia, MDAccepting new patients: Yes

Manassas Medical Center 10701 Rosemary Drive, Manassas, VA 20109

1-703-257-3000


Internal medicineMolly Clare Davis, MDAccepting new patients: Yes


1-703-922-1000


Family practiceKelly Brown, DOAccepting new patients: Yes

Gynecology, Ob/GynMegan Indigo Early, MDAccepting new patients: Yes

Carolyn Michelle Payne, MDAccepting new patients: Yes







1-703-287-6400


OphthalmologyFarhan Merali, MDAccepting new patients: Yes

Orthopedic surgeryJames N. Irvine, MDAccepting new patients: Yes

Matthew Carnochan Kinney, MDAccepting new patients: Yes

Woodbridge Medical Center 14139 Potomac Mills Road, Woodbridge, VA 22192

1-703-490-8400


Gynecology, Ob/GynNuru Abseno Robi, MDAccepting new patients: Yes

PsychiatryAndrew Matz, MDAccepting new patients: Yes



March 2020 Network primary care providers – Additions



Virginia

Manassas City

Family practice

Byong K. Kang, MDPROVIDER 9946Santa Cruz Med Clinic Byong Kang MD PC8703 Stonewall RoadSuite 2BManassas, VA 201101-703-361-1955Accepting New Patients: Yes


May 2020 Network specialists – Additions



Cardiology

Maryland

Calvert County

Gaurav Lakhanpal, MDCenter for Vein Restoration Maryland LLC301 Steeple Chase DriveSuite 401Prince Frederick, MD 206781-855-830-8346Accepting New Patients: Yes

Gynecology, Ob/Gyn

Maryland

Carroll County

George Bronsky, MDPediatrix Medical Group of the Mid-Atlantic200 Memorial AvenueWestminster, MD 211571-410-848-3000Accepting New Patients: Yes


January 2020 Network specialists – Additions



Nephrology

Maryland

Calvert County

Utpal K. Dutta, MDNephrology and Hypertension205 Steeple Chase DriveSuite 206Prince Frederick, MD 206781-410-535-2085Accepting New Patients: Yes

Oncology– medical, surgical

Virginia

Fairfax County

Anne M. Favret, MDVirginia Cancer Specialist PC3650 Joseph Siewick DriveSuite 200Fairfax, VA 220331-703-280-5390Accepting New Patients: Yes

Physiatry, rehabilitative medicine

Maryland

Charles County

Arthur P. Barletta, MDCenter for Pain Management LLC3460 Old Washington RoadSuite 300Waldorf, MD 206021-301-645-1523Accepting New Patients: Yes


September 2020 Network primary care providers – Terminations



Family practice

Maryland

Carroll County

Peter G. Uggowitzer, MD


June 2020 Network primary care providers – Terminations



Internal medicine

Virginia

Fairfax County

Shoreh H. Armani, MD


April 2020 Network primary care providers – Terminations



Internal medicine

Maryland

Carroll County

Bridgette C. Provost, MD


February 2020 Network primary care providers – Terminations



Family practice

Maryland

Calvert County

Scaria Mathew, MD


November 2020 Network specialists – Terminations



Orthopedic surgery

Virginia

Manassas City

Gabriel M. Gluck, MD


September 2020 Network specialists – Terminations



Plastic surgery

Maryland

Carroll County

Brian A. Janz, MD


June 2020 Network specialists – Terminations



Podiatry

Maryland

Frederick County

Lorna C. Wolfe, DPM

Rheumatology

Maryland

Montgomery County

Sabiha Khan, MD


May 2020 Network specialists – Terminations



Gynecology, Ob/Gyn

Maryland

Carroll County

Dee L. Hubbard, MD


April 2020 Network specialists – Terminations



Cardiology

Maryland

Calvert County

Varkey Mathew, MD


January 2020 Network specialists – Terminations



General surgery

Maryland

Carroll County

William P. Geis, MD

Nephrology

Maryland

Calvert County

Thibin D. Santha, MD

Physiatry, rehabilitative medicine

Maryland

Calvert County

Joseph Ferraro, MD


March 2020 Facility – Additions


Visit kp.org/directory for the most current information.

Hospitals

Virginia

Manassas City

Prince William Hospital8700 Sudley RoadManassas, VA 20110Main number: 1-703-369-8000

Skilled nursing facilities

Virginia

Prince William County

Manassas Health Care LLC8575 Rixlew LaneManassas, VA 20109Main number: 1-703-257-9770


September 2020 Facility – Terminations




Maryland

Frederick County

Ballenger Creek Center347 Ballenger Center DriveFrederick, MD 21703Main number: 1-301-663-5181


March 2020 Facility – Terminations




Maryland

Calvert County

Calvert County Nursing Center Inc85 Hospital RoadPrince Frederick, MD 20678Main number: 1-410-535-2300


Documents

2020 Kaiser Permanente Medicare Plus (Cost) Provider