2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory AddendumProvider Directory Addendum
November 2021 These 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
Maryland
Prince George’s County
Doctors Community Hospital–MD 8118 Good Luck Road Lanham Seabrook, MD 20706 Main 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
Kensington Medical Center 10810 Connecticut Ave., Kensington, MD 20895
1-301-929-7100
Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774
1-301-618-5500
ENT/Otolaryngology William C. Gray, MD
Ophthalmology Malav Joshi, MD Accepting new patients: Yes
Kaiser Permanente providers – Additions and Terminations
November 2021 Kaiser Permanente providers – Additions and Terminations
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
Internal medicine Antora Yazdan, DO Accepting new patients: Yes
South Baltimore County Medical Center 1701 Twin Springs Road, Halethorpe, MD 21227
1-410-737-5000
Oncology–radiation/Radiation oncology Tejan Diwanji, MD Accepting new patients: Yes
Towson Medical Center 1447 York Road, Suite 100, Lutherville, MD 21093
1-410-339-5500
White Marsh Medical Center 4920 Campbell Blvd., Nottingham, MD 21236
1-410-933-7600
November 2021 Kaiser Permanente providers – Additions and Terminations
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
Virginia
Tysons Corner Medical Center 8008 Westpark Drive, McLean, VA 22102
1-703-287-6400
Woodbridge Medical Center 14139 Potomac Mills Road, Woodbridge, VA 22192
1-703-490-8400
Internal medicine Ron Martin Menorca, MD Accepting new patients: Yes
Internal medicine Jonathan 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
1-301-929-7100
1-301-618-5500
Oncology–medical, surgical Monica Peravali, MD Accepting new patients: Yes
Internal medicine Malori Monet Callender, MD
Psychiatry Rene Jovanie Stokes, MD
Marlow Heights Medical Center 5100 Auth Way, Suitland, MD 20746
1-301-702-5000
October 2021 Kaiser Permanente providers – Additions and Terminations
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
Family practice Maria Wiisichong Madah, MD Accepting new patients: No
White Marsh Medical Center 4920 Campbell Blvd., Nottingham, MD 21236
1-410-933-7600
Virginia
1-703-721-6300
October 2021 Kaiser Permanente providers – Additions and Terminations
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
Family practice Jaspreet S. Ahuja, DO Accepting new patients: Yes
Internal medicine Arsalan Zaeem Khawaja, MD
Fredericksburg Medical Center 1201 Hospital Drive, Fredericksburg, VA 22401
1-540-368-3700
Gynecology, Ob/Gyn Anh Truong Butz, MD Accepting new patients: Yes
Springfield Medical Center 6501 Loisdale Court, Springfield, VA 22150
1-703-922-1000
October 2021 Kaiser Permanente providers – Additions and Terminations
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, surgical Archana B. Jadhav, MD Accepting new patients: Yes
Plastic surgery Chun H. Rhim, MD
Pulmonology Joshpaul Singh Jolly, MD Accepting new patients: Yes
Woodbridge Medical Center 14139 Potomac Mills Road, Woodbridge, VA 22192
1-703-490-8400
Internal medicine Athreya J. Tata, MD Accepting new patients: Yes
Internal medicine Alan 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
Maryland
Camp Springs Medical Center 6104 Old Branch Ave., Temple Hills, MD 20748
1-301-702-6100
Internal medicine Donique A. Cross, MD Accepting new patients: Yes
Gaithersburg Medical Center 655 Watkins Mill Road, Gaithersburg, MD 20879
1-240-632-4000
September 2021 Kaiser Permanente providers – Additions and Terminations
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
1-301-618-5500
Endocrinology Janet Myra Noel, MD
Orthopedic surgery Eric Yakish, MD
Spine Surgery Eric Yakish, MD
Marlow Heights Medical Center 5100 Auth Way, Suitland, MD 20746
1-301-702-5000
Gynecology, Ob/Gyn Jessica Ijeoma Ubanyionwu, MD Accepting new patients: No
September 2021 Kaiser Permanente providers – Additions and Terminations
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
Internal medicine Hanadi Shamkhani, MD
South Baltimore County Medical Center 1701 Twin Springs Road, Halethorpe, MD 21227
1-410-737-5000
Family practice Adrienne Victoria Lafleur, MD Accepting new patients: Yes
Internal medicine Abigail Mandelah Hamilton, MD Accepting new patients: Yes
Woodlawn Medical Center 7141 Security Blvd., Baltimore, MD 21244
1-443-663-6000
Additions Terminations
Oncology–medical, surgical Emily K. Fay, MD Accepting 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
Sarah A. Chacko, MD Accepting new patients: Yes
Family practice Nader Hussein Silver, MD
Fair Oaks Medical Center 12255 Fair Lakes Parkway, Fairfax, VA 22033
1-703-934-5700
Ophthalmology Katherine McCabe, MD Accepting new patients: Yes
Falls Church Medical Center 201 North Washington St., Falls Church, VA 22046
1-703-237-4000
Tysons Corner Medical Center 8008 Westpark Drive, McLean, VA 22102
1-703-287-6400
General surgery Shani 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
Maryland
Abingdon Medical Center 3400 Box Hill Corporate Center Dr., Suite 100, Abingdon, MD 21009
1-410-515-5440
Gastroenterology Damodar Pandey, MD
Kaiser Permanente Baltimore Harbor Medical Center 815 E. Pratt St., Baltimore, MD 21202
1-410-637-5700
Kaiser Permanente Frederick Medical Center 7190 Crestwood Blvd., Frederick, MD 21703
1-240-529-1700
August 2021 Kaiser Permanente providers – Additions and Terminations
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
Internal medicine So Yeon Chung, MD
Kensington Medical Center 10810 Connecticut Ave., Kensington, MD 20895
1-301-929-7100
Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774
1-301-618-5500
Marlow Heights Medical Center 5100 Auth Way, Suitland, MD 20746
1-301-702-5000
August 2021 Kaiser Permanente providers – Additions and Terminations
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
Internal medicine Juliana Llano, MD
Silver Spring Medical Center 12201 Plum Orchard Drive, Silver Spring, MD 20910
1-301-572-1000
Family practice Dimitri Yayi Coupet, MD
South Baltimore County Medical Center 1701 Twin Springs Road, Halethorpe, MD 21227
1-410-737-5000
Gastroenterology Damodar Pandey, MD
Towson Medical Center 1447 York Road, Suite 100, Lutherville, MD 21093
1-410-339-5500
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
Psychiatry Veronica Slootsky, MD
Colonial Forge Medical Center 125 Hospital Center Blvd, Suite 110, Stafford, VA 22554
1-540-602-6500
General surgery Anne Stuart Roberts, MD
Fair Oaks Medical Center 12255 Fair Lakes Parkway, Fairfax, VA 22033
1-703-934-5700
Ophthalmology James W. Slack, MD
August 2021 Kaiser Permanente providers – Additions and Terminations
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
Springfield Medical Center 6501 Loisdale Court, Springfield, VA 22150
1-703-922-1000
Tysons Corner Medical Center 8008 Westpark Drive, McLean, VA 22102
1-703-287-6400
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
1-301-929-7100
Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774
1-301-618-5500
Gynecology, Ob/Gyn Diana G. Soffer, MD
South Baltimore County Medical Center 1701 Twin Springs Road, Halethorpe, MD 21227
1-410-737-5000
Internal medicine Wanda J. Wicks, MD
Towson Medical Center 1447 York Road, Suite 100, Lutherville, MD 21093
1-410-339-5500
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
Psychiatry Erik Frost, MD
Falls Church Medical Center 201 North Washington St., Falls Church, VA 22046
1-703-237-4000
Woodbridge Medical Center 14139 Potomac Mills Road, Woodbridge, VA 22192
1-703-490-8400
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
Maryland
Camp Springs Medical Center 6104 Old Branch Ave., Temple Hills, MD 20748
1-301-702-6100
Gaithersburg Medical Center 655 Watkins Mill Road, Gaithersburg, MD 20879
1-240-632-4000
Gynecology, Ob/Gyn Farzaneh Lolachi Sabi, MD Accepting new patients: Yes
Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774
1-301-618-5500
ENT/Otolaryngology Margot Elizabeth Clasquin, MD
June 2021 Kaiser Permanente providers – Additions and Terminations
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
Shady Grove Medical Center 1396 Piccard Drive, Rockville, MD 20850
1-301-548-5700
Family practice Sandra L. Swann, MD
Silver Spring Medical Center 12201 Plum Orchard Drive, Silver Spring, MD 20910
1-301-572-1000
Woodlawn Medical Center 7141 Security Blvd., Baltimore, MD 21244
1-443-663-6000
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
1-703-257-3000
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
Maryland
1-301-618-5500
Orthopedic surgery Min Lu, MD Accepting new patients: Yes
Towson Medical Center 1447 York Road, Suite 100, Lutherville, MD 21093
1-410-339-5500
May 2021 Kaiser Permanente providers – Additions and Terminations
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
Virginia
1-703-922-1000
Tysons Corner Medical Center 8008 Westpark Drive, McLean, VA 22102
1-703-287-6400
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
Neurology Richard John McCarthy, MD Accepting new patients: Yes
Silver Spring Medical Center 12201 Plum Orchard Drive, Silver Spring, MD 20910
1-301-572-1000
Virginia
Colonial Forge Medical Center 125 Hospital Center Blvd, Suite 110, Stafford, VA 22554
1-540-602-6500
Urology Steven P. Guarnaccia, MD
Fair Oaks Medical Center 12255 Fair Lakes Parkway, Fairfax, VA 22033
1-703-934-5700
April 2021 Kaiser Permanente providers – Additions and Terminations
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
Urology Steven 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
Family practice Coleen L. Johnson, MD Accepting new patients: Yes
Gaithersburg Medical Center 655 Watkins Mill Road, Gaithersburg, MD 20879
1-240-632-4000
Kensington Medical Center 10810 Connecticut Ave., Kensington, MD 20895
1-301-929-7100
1-301-618-5500
March 2021 Kaiser Permanente providers – Additions and Terminations
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
Virginia
Colonial Forge Medical Center 125 Hospital Center Blvd, Suite 110, Stafford, VA 22554
1-540-602-6500
Pulmonology Barry J. Decker, MD
Tysons Corner Medical Center 8008 Westpark Drive, McLean, VA 22102
1-703-287-6400
Oncology–medical, surgical Andrei Marconescu, MD
Pulmonology Barry J. Decker, MD
March 2021 Kaiser Permanente providers – Additions and Terminations
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
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
Maryland
1-301-618-5500
Virginia
Burke Medical Center 5999 Burke Commons Road, Burke, VA 22015
1-703-249-7700
Internal medicine Katherine Elizabeth Rutledge, MD Accepting new patients: Yes
February 2021 Kaiser Permanente providers – Additions and Terminations
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
Dermatology Margaret Bowden Kopelman, MD
Springfield Medical Center 6501 Loisdale Court, Springfield, VA 22150
1-703-922-1000
Internal medicine Sarah Hamed Elfeky, MD
Tysons Corner Medical Center 8008 Westpark Drive, McLean, VA 22102
1-703-287-6400
Podiatry Mark 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
1-301-618-5500
Infectious diseases Saadia J. Griffith-Howard, MD
Woodlawn Medical Center 7141 Security Blvd., Baltimore, MD 21244
1-443-663-6000
Virginia
Colonial Forge Medical Center 125 Hospital Center Blvd, Suite 110, Stafford, VA 22554
1-540-602-6500
Reston Medical Center 1890 Metro Center Drive, Reston, VA 20190
1-703-709-1500
January 2021 Kaiser Permanente providers – Additions and Terminations
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
Tysons Corner Medical Center 8008 Westpark Drive, McLean, VA 22102
1-703-287-6400
Internal medicine Tahanie 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
Gynecology, Ob/Gyn Kimone A. Powell, MD
South Baltimore County Medical Center 1701 Twin Springs Road, Halethorpe, MD 21227
1-410-737-5000
Cardiology John Seth Golden, MD
Gastroenterology Arpan H. Patel, MD
Towson Medical Center 1447 York Road, Suite 100, Lutherville, MD 21093
1-410-339-5500
December 2020 Kaiser Permanente providers – Additions and Terminations
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
Virginia
Colonial Forge Medical Center 125 Hospital Center Blvd, Suite 110, Stafford, VA 22554
1-540-602-6500
Cardiology John Seth Golden, MD
Falls Church Medical Center 201 North Washington St., Falls Church, VA 22046
1-703-237-4000
Springfield Medical Center 6501 Loisdale Court, Springfield, VA 22150
1-703-922-1000
December 2020 Kaiser Permanente providers – Additions and Terminations
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
Orthopedic surgery Donald Avram Saroff, MD
Woodbridge Medical Center 14139 Potomac Mills Road, Woodbridge, VA 22192
1-703-490-8400
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
Maryland
1-410-571-7300
Family practice Ming Y. Li, MD Accepting new patients: Yes
Gynecology, Ob/Gyn Julita A. Lett, MD Accepting new patients: Yes
Kaiser Permanente Baltimore Harbor Medical Center 815 E. Pratt St., Baltimore, MD 21202
1-410-637-5700
November 2020 Kaiser Permanente providers – Additions and Terminations
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
Internal medicine Leszek Karowiec, MD Nevi Patel, MD
Internal medicine Sahar Aslani Jahan, MD Accepting new patients: Yes
Chris Chung-Hyun Park, MD Accepting new patients: Yes
Ghazaleh Rahbari, MD Accepting new patients: Yes
Ke Sun, MD Accepting new patients: Yes
Neurology Natalia Maria Llanes, MD Accepting new patients: Yes
Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774
1-301-618-5500
Chronic pain management Kamran Akhavan Saraf, MD
General surgery Shirley Xing, DODermatology
Omolara Mojisola Olowoyeye, MD Accepting new patients: Yes
ENT/Otolaryngology Margot Elizabeth Clasquin, MD Accepting new patients: Yes
William C. Gray, MD Accepting new patients: Yes
(continued)
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
Tina Musa, DO Accepting new patients: Yes
Internal medicine Kymia Khosrowani, MD Accepting new patients: Yes
William Edwin Towne, MD Accepting new patients: Yes
Ophthalmology Ronak Sandeep Patel, MD Accepting new patients: Yes
Pulmonology Edward Kenneth Len, MD Accepting new patients: Yes
Nancy MacGarvey, MD Accepting new patients: Yes
Urology Michael Alan Fenstermaker, MD Accepting new patients: Yes
Todd Brian Tescher, MD Accepting new patients: Yes
November 2020 Kaiser Permanente providers – Additions and Terminations
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
Pim Suwannarat, MD Accepting new patients: Yes
Gynecology, Ob/Gyn Rohini Boddu, MD Shalanda R. Webb, MD
North Arundel Medical Center 7670 Quarterfield Road, Glen Burnie, MD 21061
1-410-508-7650
Gynecology, Ob/Gyn Rubiliatu Abiola Akinwande, MD Accepting new patients: Yes
Ophthalmology Supriya Goyal, MD
Prince George’s Medical Center 6525 Belcrest Road, Hyattsville, MD 20782
1-301-209-6000
Gynecology, Ob/Gyn Kathleen D. Solomon, MD Accepting new patients: Yes
Internal medicine Jihyun Ann Jun, DO Accepting new patients: Yes
Chioma Ohalete, DO Accepting new patients: Yes
November 2020 Kaiser Permanente providers – Additions and Terminations
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
Gynecology, Ob/Gyn Jessica Marie Traylor, MD Accepting new patients: Yes
South Baltimore County Medical Center 1701 Twin Springs Road, Halethorpe, MD 21227
1-410-737-5000
General surgery Catherine Skelley Denkler, MD Accepting new patients: Yes
Gynecology, Ob/Gyn Cynthia Clunie Cesaire, MD Accepting new patients: Yes
Nika Vinson, MD Accepting new patients: No
Towson Medical Center 1447 York Road, Suite 100, Lutherville, MD 21093
1-410-339-5500
Gynecology, Ob/Gyn Alyssa R. Hammer, MD Accepting new patients: Yes
November 2020 Kaiser Permanente providers – Additions and Terminations
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
1-443-663-6000
Benjamin Rubin, MD Accepting new patients: Yes
Ophthalmology Supriya Goyal, MD
Virginia
Colonial Forge Medical Center 125 Hospital Center Blvd, Suite 110, Stafford, VA 22554
1-540-602-6500
November 2020 Kaiser Permanente providers – Additions and Terminations
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
Fredericksburg Medical Center 1201 Hospital Drive, Fredericksburg, VA 22401
1-540-368-3700
Manassas Medical Center 10701 Rosemary Drive, Manassas, VA 20109
1-703-257-3000
Reston Medical Center 1890 Metro Center Drive, Reston, VA 20190
1-703-709-1500
Gynecology, Ob/Gyn Geannie M. Bennett, MD Accepting new patients: Yes
November 2020 Kaiser Permanente providers – Additions and Terminations
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
Gynecology, Ob/Gyn Nahed Mahmoud Ezmerli, MD Accepting new patients: Yes
Tysons Corner Medical Center 8008 Westpark Drive, McLean, VA 22102
1-703-287-6400
General surgery Shirley Xing, DO
Dermatology Annalise Abiodun, MD Accepting new patients: Yes
General surgery Shani O.M. Belgrave-Heath, MD Accepting new patients: Yes
Gynecology, Ob/Gyn Eunice J. Lee, MD Accepting new patients: Yes
Podiatry Virginia E. Parks, DPM Accepting new patients: Yes
November 2020 Kaiser Permanente providers – Additions and Terminations
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
Family practice
Debra Adkins Vereen, MD PROVIDER 317610 Greater Baden Brandywine 7450 Albert Road Brandywine, MD 20613 1-301-888-2233 Accepting New Patients: Yes
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
Fredericksburg City
Naren Gupta, MD Vascular Institute of Virginia LLC 1440 Central Park Blvd. Suite 108 Fredericksburg, VA 22401 1-703-763-5224 Accepting New Patients: Yes
Prince William County
Naren Gupta, MD Vascular Institute of Virginia LLC 14085 Crown Court Woodbridge, VA 22193 1-703-763-5224 Accepting New Patients: Yes
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
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
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
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
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
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
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
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
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
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
Howard County
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
Maryland
Virginia
Fairfax County
Dermatology
Maryland
Baltimore County
Howard County
Baltimore City
Malin L. Howard, MD Timothy J. McCulley, MD Christina R. Prescott, MD
Baltimore County
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
Anne Arundel County
Ajay Behari, MD Mark S. Gosnell, MD Francois J. Gregoire, MD
Baltimore City
Baltimore County
Ajay Behari, MD Elizabeth Cifra, MD Mark S. Gosnell, MD Francois J. Gregoire, MD Daniel A. Grove, MD Jason J. Marx, MD Anita Naik, DO Peter J. Sloane, MD Stuart R. Willes, MD
Harford County
Virginia
Baltimore City
Trinity J. Bivalacqua, MD Reynaldo P. Madrinan, MD Phillip M. Pierorazio, MD
Baltimore County
Trinity J. Bivalacqua, MD Reynaldo P. Madrinan, MD Andrew M. Shapiro, MD
Carroll County
Harford County
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
Virginia
Baltimore County
Samuel Akman, MD Carla M. Bossano, MD Maria C. Facadio Antero, MD Robert F. Pegues, MD
Neurology
Maryland
Neurosurgery
Maryland
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
Baltimore City
Erik A. Hasenboehler, MD Casey J. Humbyrd, MD Christopher T. LeBrun, MD
Baltimore County
Baltimore City
Adam I. Kaplin, MD Thomas W. Koenig, MD Crystal C. Watkins, MD
Baltimore County
Carlos L. Azcarate, MD Marsden H. McGuire, MD Crystal C. Watkins, MD
Urology
Maryland
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
Elizabeth A. Dovec, MD
Prince George’s County
Rene L. Gelber, MD
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
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
Oncology— medical, surgical
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
Loudoun County
Dermatology
Virginia
Montgomery County
Pulmonology
Maryland
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
Loudoun County
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
Frederick County
Virginia
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
Harford County
Cardiology
Virginia
Baltimore County
Anthony N. Kalloo, MD Vivek Kumbhari, MD Lisa S. Pichney, MD
General surgery
Baltimore City
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, MD Michael Lim, MD Daniel M. Sciubba, MD
Baltimore County
Ophthalmology
Maryland
Rheumatology
Maryland
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
ENT/Otolaryngology
Maryland
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
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
Chiropractor
Carroll County
Orthopedic surgery
Physiatry, rehabilitative medicine
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
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
Maryland
Baltimore City
Rachel E. Chan Seay, MD Sharice R. Hammond, MD Svena D. Julien, MD
Virginia
Oncology— medical, surgical
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
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
Raymond K. Barry, DC Adam L. Cohen, DC Lief F. Hands, DC
Baltimore City
Montgomery County
Dorothy L. Dalton-Sheridan, DC Lisa B. Hepfer, DC Steven F. Lipschutz, DC Mariella M. Young, DC
Virginia
Fairfax County
Leroy A. Bazzarone, DC Andrew C. Jordan, DC Gurutrang S. Khalsa, DC
Loudoun County
Prince William County
Endocrinology
Maryland
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
Baltimore County
Maurice Bachawati, MD Merle C. McCann, MD Abdolazim Shahsavar, MD
Howard County
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
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, MD Northwest DC Medical Office Building Accepting new patients: No
Accepting new patients change
Internal medicine Samuel Stone Ballew, DO Kaiser Permanente Capitol Hill Medical Center Accepting new patients: No
Accepting new patients change
Specialty Provider Type of Change
Family practice Sharon Y. Chung, DO North Arundel Medical Center Accepting new patients: No
Accepting new patients change
Family practice David Jang, MD North Arundel Medical Center Accepting new patients: No
Accepting new patients change
Family practice Sherell Latonya Mason, MD Baltimore Harbor Medical Center Accepting new patients: No
Accepting new patients change
Accepting new patients change
Family practice Marie Pereira, DO White Marsh Medical Center Accepting new patients: Yes
Accepting new patients change
Family practice Naeha Kaw Quasba, MD Woodlawn Medical Center Accepting new patients: Yes
Accepting new patients change
Family practice Wendy Carolina Rosensweig, MD Silver Spring Medical Center Accepting new patients: No
Accepting new patients change
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, MD Prince George’s Medical Center Accepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Glynn Mark Thompson, MD Gaithersburg Medical Center Accepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Raj N. Yadav, MD South Baltimore County Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Michele Rene Arthurs, MD Camp Springs Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Sabine F. Balzora-Jackson, MD Camp Springs Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Darrell John Baranko, MD Gaithersburg Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Karen Tapawan Chen, MD Towson Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Eva Dicocco, MD Woodlawn Medical Center Accepting new patients: Yes
Accepting new patients change
Accepting new patients change
Internal medicine Zhihua Geng, MD Woodlawn Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Meeta Gulati, MD White Marsh Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Nicholas Hatate, DO Prince George’s Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Manish Jain, MD Kensington Medical Center Accepting new patients: Yes
Accepting new patients change
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, MD Woodlawn Medical Center Accepting new patients: Yes
Accepting new patients change
Accepting new patients change
Internal medicine Heather Marie Kearney, MD Prince George’s Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Shirley Wynleen Lee, MD Woodlawn Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Robert Jason Levine, DO Towson Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Leopoldine Modjo Kenmogne, MD South Baltimore County Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Christelle Nong Libend, MD South Baltimore County Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Nkiruka Uzoamaka Obioha, MD Towson Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Sonal Dineshbhai Patel, MD Kensington Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Meaza Gebre Selassie, MD Gaithersburg Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Gaby Tesfaye, MD Prince George’s Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Mary Varkey, MD Towson Medical Center Accepting new patients: No
Accepting new patients change
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)
Internal medicine Neelofar Wajahat, MD Woodlawn Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Charlotte Anne Watts, MD Towson Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Umme Yasmin, MD North Arundel Medical Center Accepting new patients: No
Accepting new patients change
Family practice Rebecca Jane Davison, MD Springfield Medical Center Accepting new patients: No
Accepting new patients change
Family practice Tejal Dharia, MD Haymarket Crossroads Medical Center Accepting new patients: No
Accepting new patients change
Family practice Riley Sean Dubois, MD Haymarket Crossroads Medical Center Accepting new patients: Yes
Accepting new patients change
Family practice Lisa Jenkins, MD Fredericksburg Medical Center Accepting new patients: No
Accepting new patients change
Family practice Rachel Nicole Marquez, MD Colonial Forge Medical Center Accepting new patients: Yes
Accepting new patients change
Family practice Michelle M. Tran, MD Reston Medical Center Accepting new patients: Yes
Accepting new patients change
Gynecology, Ob/Gyn Sheneika M. Walker, MD Woodbridge Medical Center Accepting new patients: No
Accepting new patients change
Accepting new patients change
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)
Internal medicine Sonya Adam, MD Springfield Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Khadija I. Alvi, MD Ashburn Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Esther Kim Bahk, MD Springfield Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Yodit B. Benalfew, MD Fair Oaks Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Vincent Chi-Min Chen, MD Springfield Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Anna Agnieszka Kraszewska, MD Reston Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Kusuma Kalyani Nanduri, MD Fair Oaks Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Vu The Nguyen, MD Falls Church Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Juan Carlos Ortiz Perez, MD Woodbridge Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Katherine E. Rutledge, MD Burke Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Carole Assaad Shaddad, MD Springfield Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine William A. Thistlethwaite, MD Falls Church Medical Center Accepting 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, MD Northwest DC Medical Office Building Accepting new patients: Yes
Accepting new patients change
Family practice Rachel Bernice Hope, MD Baltimore Harbor Medical Center Accepting new patients: Yes
Accepting new patients change
Family practice Sherell Latonya Mason, MD Baltimore Harbor Medical Center Accepting new patients: Yes
Accepting new patients change
Accepting new patients change
Family practice Wendy Carolina Rosensweig, MD Silver Spring Medical Center Accepting new patients: Yes
Accepting new patients change
Family practice Marc E. Wilson, MD Baltimore Harbor Medical Center Accepting new patients: Yes
Accepting new patients change
Family practice Crystal P. Yeldell, MD Marlow Heights Medical Center Accepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Nika Vinson, MD South Baltimore County Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Zoka Mazarei Afsar, DO Gaithersburg Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Juliana H. Aruna, MD Bowie Medical Center Accepting new patients: Yes
Accepting new patients change
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)
Internal medicine Sevag Bananian, MD Kensington Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Darrell John Baranko, MD Gaithersburg Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Irina Bobrova Sherman, MD Shady Grove Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Eva Dicocco, MD Woodlawn Medical Center Accepting new patients: No
Accepting new patients change
Accepting new patients change
Internal medicine Chong Fang, MD Towson Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Zhihua Geng, MD Woodlawn Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Manish Jain, MD Kensington Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Charis James, MD White Marsh Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Robert Jason Levine, DO Towson Medical Center Accepting new patients: Yes
Accepting new patients change
Accepting new patients change
Internal medicine Nkiruka Uzoamaka Obioha, MD Towson Medical Center Accepting 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, MD Prince George’s Medical Center Provider code: 18051
Name change
Internal medicine Joy Isomianwu Onaghise, MD Bowie Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Patricia A. Oshodi, MD Camp Springs Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Chevonne Tenille Salmon-Ray, MD Prince George’s Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Meaza Gebre Selassie, MD Gaithersburg Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Samuel A. Semegn, MD Silver Spring Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine William Edwin Towne, MD Bowie Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Mary Varkey, MD Towson Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Neelofar Wajahat, MD Woodlawn Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Charlotte Anne Watts, MD Towson Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Sherry J. Weinstein-Mayer, MD Baltimore Harbor Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Miranda Efua Wellington, MD Bowie Medical Center Accepting 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
Dermatology Brittany L. Heffner, MD Springfield Medical Center Provider code: 16814
Name change
Family practice Riley Sean Dubois, MD Haymarket Crossroads Medical Center Accepting new patients: No
Accepting new patients change
Family practice Saurabh Gambhir, MD Fair Oaks Medical Center Accepting new patients: Yes
Accepting new patients change
Family practice Akila V. Iyer, MD Haymarket Crossroads Medical Center Accepting new patients: No
Accepting new patients change
Family practice Mahvash Mujahid, MD Fair Oaks Medical Center Accepting new patients: Yes
Accepting new patients change
Family practice Claria L. Prior, DO Woodbridge Medical Center Accepting new patients: No
Accepting new patients change
Family practice Claria L. Prior, DO Woodbridge Medical Center Provider code: 16957
Name change
Family practice Christie Youssef, DO Fair Oaks Medical Center Accepting new patients: Yes
Accepting new patients change
Gynecology, Ob/Gyn Nicole Tate, MD Fredericksburg Medical Center Accepting new patients: No
Accepting new patients change
Accepting new patients change
Internal medicine Summer Abdel-Megeed, MD Tysons Corner Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Esther Kim Bahk, MD Springfield Medical Center Accepting 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, MD Fair Oaks Medical Center Accepting new patients: Yes
Accepting new patients change
Accepting new patients change
Internal medicine Vincent Chi-Min Chen, MD Springfield Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Jonathan Justin Chou, MD Woodbridge Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Suma Doppalapudi, MD Ashburn Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Stuart Q. Hopkins, MD Woodbridge Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Anna Agnieszka Kraszewska, MD Reston Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Manasi Pandit Long, MD Burke Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Priya Mathur, MD Manassas Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Kusuma Kalyani Nanduri, MD Fair Oaks Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Vu The Nguyen, MD Falls Church Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Juan Carlos Ortiz Perez, MD Woodbridge Medical Center Accepting 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)
Internal medicine Katherine Elizabeth Rutledge, MD Burke Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Katherine E. Rutledge, MD Burke Medical Center Provider code: 18451
Name change
Internal medicine William A. Thistlethwaite, MD Falls Church Medical Center Accepting new patients: No
Accepting new patients change
Accepting new patients change
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, MD Kaiser Permanente Capitol Hill Medical Center Provider code: 17433
Name change
Internal medicine Douglas Mark Van Zoeren, MD Kaiser Permanente Capitol Hill Medical Center Accepting new patients: No
Accepting new patients change
Specialty Provider Type of Change
Allergy and Immunology Adriano N. Salicru, MD Bowie Fairwood Medical Center 5400 Hillmeade Road Bowie, MD 20720 1-301-867-1300
Address/phone change
ENT/Otolaryngology Margot E. Clasquin, MD Largo Medical Center Provider code: 14130
Name change
Family practice Oluwakemi Abosede Ajide, MD White Marsh Medical Center Accepting new patients: Yes
Accepting new patients change
Family practice Ayanna Marie Beard, MD Marlow Heights Medical Center Accepting new patients: Yes
Accepting new patients change
Family practice Stephanie Lynn Davis, MD Abingdon Medical Center Accepting new patients: No
Accepting new patients change
Family practice Raymond Dormevil, MD Woodlawn Medical Center Accepting new patients: No
Accepting new patients change
Family practice Rachel Bernice Hope, MD Baltimore Harbor Medical Center Accepting new patients: No
Accepting new patients change
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)
Family practice Sherell Latonya Mason, MD Baltimore Harbor Medical Center Accepting new patients: No
Accepting new patients change
Family practice Thuan-Hoa Nguyen, MD Silver Spring Medical Center Accepting new patients: No
Accepting new patients change
Family practice Maia Moraine Patel, MD Abingdon Medical Center Accepting new patients: Yes
Accepting new patients change
Family practice Marie Pereira, DO White Marsh Medical Center Accepting new patients: No
Accepting new patients change
Family practice Naeha Kaw Quasba, MD Woodlawn Medical Center Accepting new patients: No
Accepting new patients change
Family practice Jency Thomas, MD Marlow Heights Medical Center Accepting new patients: No
Accepting new patients change
Family practice Kathyann M. Walcott, MD Silver Spring Medical Center Accepting new patients: Yes
Accepting new patients change
Family practice Marc E. Wilson, MD Baltimore Harbor Medical Center Accepting new patients: No
Accepting new patients change
General surgery Wudneh M. Temesgen, MD Kensington Medical Center Largo Medical Center Provider code: 16122
Name change
Gynecology, Ob/Gyn Dalila Harvey-Granger, MD Bowie Fairwood Medical Center 5400 Hillmeade Road Bowie, MD 20720 1-301-867-1300
Address/phone change
Gynecology, Ob/Gyn Thomas C. Hogue, MD Bowie Fairwood Medical Center 5400 Hillmeade Road Bowie, MD 20720 1-301-867-1300
Address/phone change
Gynecology, Ob/Gyn Shillena Natalie Peters, MD South Baltimore County Medical Center Accepting new patients: No
Accepting new patients change
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)
Gynecology, Ob/Gyn Nika Vinson, MD South Baltimore County Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Zoka Mazarei Afsar, DO Gaithersburg Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Juliana H. Aruna, MD Bowie Fairwood Medical Center 5400 Hillmeade Road Bowie, MD 20720 1-301-867-1300
Address/phone change
Internal medicine Sharmila Aryal, MD Kensington Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Yonas Ateshim, MD South Baltimore County Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Sabine F. Balzora-Jackson, MD Camp Springs Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Sevag Bananian, MD Kensington Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Darrell John Baranko, MD Gaithersburg Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Malori Monet Callender, MD Largo Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Karen Tapawan Chen, MD Towson Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Laura Emmanuel-Allen, MD Woodlawn Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Zhihua Geng, MD Woodlawn Medical Center Accepting new patients: Yes
Accepting new patients change
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, MD Camp Springs Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Jasmin Hans, MD White Marsh Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Manish Jain, MD Kensington Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Charis James, MD White Marsh Medical Center Accepting new patients: Yes
Accepting new patients change
Accepting new patients change
Internal medicine Robert Jason Levine, DO Towson Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Alyssa Mary Mathew, DO White Marsh Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Leopoldine Modjo Kenmogne, MD South Baltimore County Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Christelle Nong Libend, MD South Baltimore County Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Joy I. Onaghise, MD Bowie Fairwood Medical Center 5400 Hillmeade Road Bowie, MD 20720 1-301-867-1300
Address/phone change
Internal medicine Yasmin Panahy, MD Kensington Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Jennifer Y. Prendez, MD Prince George’s Medical Center Provider code: 16932
Name change
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, MD Prince George’s Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Barbara Ledesma Sanico, MD White Marsh Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Meaza Gebre Selassie, MD Gaithersburg Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Samuel A. Semegn, MD Silver Spring Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine David Alden Smith, MD Kensington Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Gina L. Standard, MD Columbia Gateway Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Gaby Tesfaye, MD Prince George’s Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine William E. Towne, MD Bowie Fairwood Medical Center 5400 Hillmeade Road Bowie, MD 20720 1-301-867-1300
Address/phone change
Internal medicine Mary Varkey, MD Towson Medical Center Accepting new patients: No
Accepting new patients change
Accepting new patients change
Internal medicine Nan Wang, MD Kensington Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Miranda E. Wellington, MD Bowie Fairwood Medical Center 5400 Hillmeade Road Bowie, MD 20720 1-301-867-1300
Address/phone change
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)
Internal medicine Jeffrey Michael Wharton, MD Gaithersburg Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Dereje Woreta, MD Silver Spring Medical Center Accepting new patients: No
Accepting new patients change
Ophthalmology Ruby A. Parikh, MD Largo Medical Center Provider code: 398007
Name change
Orthopedic surgery Leonard F. Tassy, MD Kensington Medical Center Provider code: 8897
Name change
Pediatrics Adrienne Grace Collier, MD Largo Medical Center Accepting new patients: Yes
Accepting new patients change
Pediatrics Mark Anthony Reed, MD Largo Medical Center Accepting new patients: No
Accepting new patients change
Pediatrics Lynn S. Trombka, MD Largo Medical Center Accepting new patients: No
Accepting new patients change
Psychiatry Shanda J. Smith, MD Bowie Fairwood Medical Center 5400 Hillmeade Road Bowie, MD 20720 1-301-867-1300
Address/phone change
Family practice Rebecca Jane Davison, MD Springfield Medical Center Accepting new patients: Yes
Accepting new patients change
Family practice Saurabh Gambhir, MD Fair Oaks Medical Center Accepting new patients: No
Accepting new patients change
Family practice Liliana Gomez-Medley, MD Falls Church Medical Center Accepting new patients: Yes
Accepting new patients change
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, MD Fair Oaks Medical Center Accepting new patients: No
Accepting new patients change
Accepting new patients change
Family practice Andaleeb Rahman, MD Fair Oaks Medical Center Accepting new patients: No
Accepting new patients change
Family practice Jeannette Tao, MD Burke Medical Center Accepting new patients: No
Accepting new patients change
Family practice Christie Youssef, DO Fair Oaks Medical Center Accepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Julie A. Ambrose, MD Tysons Corner Medical Center Accepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Toinette O. Chin, MD Fair Oaks Medical Center Accepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Toriseju D. Whyte, MD Alexandria Medical Center Provider code: 321609
Name change
Accepting new patients change
Internal medicine Sonya Adam, MD Springfield Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Yodit B. Benalfew, MD Fair Oaks Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Jonathan Justin Chou, MD Woodbridge Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Kajal Dasgupta, MD Falls Church Medical Center Accepting new patients: No
Accepting new patients change
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)
Internal medicine Suma Doppalapudi, MD Ashburn Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Janet Marie Dougherty, MD Springfield Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Diane Franchi, MD Fredericksburg Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Stuart Q. Hopkins, MD Woodbridge Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Arsalan Zaeem Khawaja, MD Fair Oaks Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Anna Agnieszka Kraszewska, MD Reston Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Manasi Pandit Long, MD Burke Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Brandon Mark McElroy, MD Woodbridge Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Thu Bich Nguyen, MD Fair Oaks Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Elena Short, MD Woodbridge Medical Center Accepting new patients: No
Accepting new patients change
Accepting new patients change
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, DO Kaiser Permanente Capitol Hill Medical Center Accepting new patients: No
Accepting new patients change
Specialty Provider Type of Change
Family practice Oluwakemi Abosede Ajide, MD White Marsh Medical Center Accepting new patients: Yes
Accepting new patients change
Family practice Sharon Y. Chung, DO North Arundel Medical Center Accepting new patients: No
Accepting new patients change
Family practice Rachel Bernice Hope, MD Baltimore Harbor Medical Center Accepting new patients: No
Accepting new patients change
Accepting new patients change
Family practice Maia Moraine Patel, MD Abingdon Medical Center Accepting new patients: Yes
Accepting new patients change
Family practice Deborah Maria Thompson, MD Marlow Heights Medical Center Accepting new patients: No
Accepting new patients change
Family practice Kathyann M. Walcott, MD Silver Spring Medical Center Accepting new patients: Yes
Accepting new patients change
Gynecology, Ob/Gyn Dalila Harvey-Granger, MD Largo Medical Center Accepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Thomas Charles Hogue, MD Largo Medical Center Accepting new patients: No
Accepting new patients change
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)
Gynecology, Ob/Gyn Shillena Natalie Peters, MD South Baltimore County Medical Center Accepting new patients: No
Accepting new patients change
Gynecology, Ob/Gyn Nika Vinson, MD South Baltimore County Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Darrell John Baranko, MD Gaithersburg Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Irina Bobrova Sherman, MD Shady Grove Medical Center Accepting new patients: No
Accepting new patients change
Internal medicine Justin F. Capasso, MD Towson Medical Center 1447 York Road, Suite 100 Lutherville, MD 21093 1-410-339-5500
Address/phone change
Internal medicine Anuradha Dahiya, MD Silver Spring Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Florence Veronica Deza, MD Columbia Gateway Medical Center Accepting new patients: Yes
Accepting new patients change
Internal medicine Laura Emmanuel-Allen, MD Woodlawn Medical Center Accepting new patients: Yes
Accepting new patients change
Accepting