Gina J Kim Ahn
MEDSTAR MEDICAL GROUP RADIOLOGY LLC


Address: 110 Irving St Nw, Dept of Rad Rm Ba94, Washington, DC 20010-3017
Phone: 2028776429

Gina J Kim Ahn (NPI# 1245217835, PAC ID# 5193808749) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1245217835
PAC ID by PECOS 5193808749
Professional Enrollment ID I20140731000513
Full Name Gina J Kim Ahn
Organization Legal Name MEDSTAR MEDICAL GROUP RADIOLOGY LLC
Address 110 Irving St Nw
Dept of Rad Rm Ba94
Washington
DC 20010-3017
Phone Number 2028776429
Gender F
Medical School UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES
Graduation Year 1994
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 1557589157
Number of Group Practice Members 124
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210062 MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER
090011 MEDSTAR WASHINGTON HOSPITAL CENTER
210028 MEDSTAR SAINT MARY'S HOSPITAL

Other Locations

Address Phone Organization
3001 S Hanover St, Baltimore, MD 21225-1233 4103503300 MEDSTAR MEDICAL GROUP RADIOLOGY LLC
5601 Loch Raven Blvd, Baltimore, MD 21239-2945 4434444340 MEDSTAR MEDICAL GROUP RADIOLOGY LLC
12 Medstar Blvd, Bel Air, MD 21015-1798 4436255430 PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER LLC
13950 Brandywine Rd, Brandywine, MD 20613-5815 2405463000 PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER LLC
7501 Surratts Rd, Suite 104, Clinton, MD 20735-3370 3018680972 MEDSTAR MEDICAL GROUP RADIOLOGY LLC
7503 Surratts Rd, Clinton, MD 20735-3358 3018774772 MEDSTAR MEDICAL GROUP RADIOLOGY LLC
25500 Point Lookout Rd, Leonardtown, MD 20650-2015 3014756106 MEDSTAR MEDICAL GROUP RADIOLOGY LLC
12158 Central Ave, Suite 100, Mitchellville, MD 20721-1932 3014302750 PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER LLC
110 Irving St Nw, Dept of Rad Rm Ba94, Washington, DC 20010-3017 2028776429 MEDSTAR MEDICAL GROUP RADIOLOGY LLC
1133 21st St Nw, Suite 115, Washington, DC 20036-3390 2027488830 PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_195_overall Radiology: Stenosis Measurement in Carotid Imaging Reports 100%
MIPS_EC_225_overall Radiology: Reminder System for Screening Mammograms 94%
MIPS_EC_436_overall Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques 39%

Organization Information

Organization Legal Name MEDSTAR MEDICAL GROUP RADIOLOGY LLC
Physicians 121

Physicians with the same organization

Name Specialty Organization Address
Jennifer Thomas Diagnostic Radiology Medstar Medical Group Radiology LLC 25500 Point Lookout Rd, Leonardtown, MD 20650-2015
Kimberly Smith Diagnostic Radiology Medstar Medical Group Radiology LLC 233 S 6th St, Apt 302, Philadelphia, PA 19106-3750
Igor Trilisky Diagnostic Radiology Medstar Medical Group Radiology LLC 6600 N Whipple St, Chicago, IL 60645-4121
Behnaz Goudarzi Diagnostic Radiology Medstar Medical Group Radiology LLC 4460 Doncaster Dr, Ellicott City, MD 21043-6797
David C Moses Nuclear Medicine Medstar Medical Group Radiology LLC 750 Chapel Ridge Rd, Timonium, MD 21093-1897
Navid R Homayouni Nuclear Medicine Medstar Medical Group Radiology LLC 70 I St Se, Apt 932, Washington, DC 20003-4833
Kaustubh Subhash Yadwadkar Diagnostic Radiology Medstar Medical Group Radiology LLC 3800 Reservoir Rd Nw, Dept of Radiology, Washington, DC 20007-2113
Brian P Swehla Diagnostic Radiology Medstar Medical Group Radiology LLC 25500 Point Lookout Rd, Leonardtown, MD 20650-2015
Angela Denise Levy Diagnostic Radiology Medstar Medical Group Radiology LLC 3800 Reservoir Rd Nw, Dept of Radiology, Washington, DC 20007-2113
Sheil Y Shah Diagnostic Radiology Medstar Medical Group Radiology LLC 110 Irving St Nw, Dept of Rad Rm Ba94, Washington, DC 20010-3017

Office Location

Street Address 110 IRVING ST NW
DEPT OF RAD RM BA94
City WASHINGTON
State DC
Zip 20010-3017

Physicians in the same location

Name Specialty Organization Address
Janet Braziel Nurse Practitioner Washington Hospital Center Corp 110 Irving St Nw, Washington, DC 20010-3017
Ore-oluwa Lima Da Silva Certified Registered Nurse Anesthetist (crna) Medstar Medical Group Anesthesiology LLC 110 Irving St Nw, Mmg Anesthesiology At Mwhc, Washington, DC 20010-3017
Fay A Horng Anesthesiology Medstar Medical Group Anesthesiology LLC 110 Irving St Nw, Mmg Anesthesiology At Mwhc, Washington, DC 20010-3017
Susete Carneiro Orthopedic Surgery Kaiser Foundation Health Plan of The Mid-atlantic States Inc 110 Irving St Nw, Washington, DC 20010-3017
Alexandra Megan Fine Anesthesiology Assistant Medstar Medical Group Anesthesiology LLC 110 Irving St Nw, Mmg Anesthesiology At Mwhc, Washington, DC 20010-3017
Claire E Porter Physician Assistant Washington Hospital Center Corp 110 Irving St Nw, Washington, DC 20010-2975
Maheswora N Baidya Cardiovascular Disease (cardiology) Medstar Heart Institute LLC 110 Irving St Nw, Washington, DC 20010-3017
Julie M Fitzgerald Optometry Whc Physician Group LLC 110 Irving St Nw, Washington, DC 20010-3017
Seife Yohannes Critical Care (intensivists) Whc Physician Group LLC 110 Irving St Nw, Washington, DC 20010-3017
Daniel R Felbaum Neurosurgery Mgmc LLC 110 Irving St Nw, Washington, DC 20010-3017
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Physicians in the same zip code

Name Specialty Organization Address
Lea Stern Anesthesiology North American Partners In Anesthesia Maryland LLC 3401 Georgia Ave Nw, Hero Dental of Washington Dc, Washington, DC 20010-2501
Linda A Myers Anesthesiology North American Partners In Anesthesia Maryland LLC 3401 Georgia Ave Nw, Hero Dental of Washington Dc, Washington, DC 20010-2501
Yue-hin Loke Pediatric Medicine Childrens Hospital 111 Michigan Ave Nw, Washington, DC 20010-2916
Elshadey Y Bekele Pediatric Medicine Childrens Hospital 111 Michigan Ave Nw, Washington, DC 20010-2916
Ranjith Vellody Interventional Radiology Childrens Hospital 111 Michigan Ave Nw, Washington, DC 20010-2916
Jennifer B Dean Pediatric Medicine Childrens Hospital 111 Michigan Ave Nw, Washington, DC 20010-2916
Paul E Manicone Pediatric Medicine Childrens Hospital 111 Michigan Ave Nw, Washington, DC 20010-2916
Nada S Harik Infectious Disease Childrens Hospital 111 Michigan Ave Nw, Washington, DC 20010-2916
Folasade O Ogunlesi Pediatric Medicine Childrens Hospital 111 Michigan Ave Nw, Washington, DC 20010-2916
Laila A Mahmood Hematology/oncology Childrens Hospital 111 Michigan Ave Nw, Washington, DC 20010-2916
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Competitor

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City WASHINGTON
Zip Code 20010
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty WASHINGTON + DIAGNOSTIC RADIOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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