2021 Kaiser Permanente Medicare Advantage (HMO) …

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2020AR1841NOV 2021 Kaiser Permanente Medicare Advantage (HMO) Provider 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.

Transcript of 2021 Kaiser Permanente Medicare Advantage (HMO) …

Page 1: 2021 Kaiser Permanente Medicare Advantage (HMO) …

2020AR1841NOV

2021 Kaiser Permanente Medicare Advantage (HMO)

Provider Directory Addendum

November 2021These changes are current and effective as of October 25, 2021.

Please review the changes that have occurred to our provider network as of the effective date above. This document should be included with the complete 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory. For the most current provider listings, please visit kp.org/directory.

If you have questions, please contact Kaiser Permanente Member Services at 1-888-777-5536, TTY 711, seven days a week, 8 a.m. to 8 p.m.

Mid-Atlantic Permanente Medical Group primary care physicians at all 33 of our medical office buildings earned Level III recognition as Patient Centered Medical Homes (PCMH), the highest level of recognition possible as recognized by the National Committee for Quality Assurance®. Additionally, Mid-Atlantic Permanente Medical Group has more primary care physicians recognized by the National Committee for Quality Assurance than any other medical group in Maryland, Virginia or Washington, D.C. for the Diabetes Recognition Program (DRP), which is a clinical review of evidence-based care provided to patients with diabetes.

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2 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Premier hospitals updates

February 2021 Premier hospitals – Updates

Maryland

Prince George’s County

Doctors Community Hospital–MD8118 Good Luck RoadLanham Seabrook, MD 20706Main number: 1-301-552-8118

Doctors Community Hospital-MD is still in our Medicare Advantage network, but is no longer a premier hospital. To learn more about premier hospitals, visit kp.org/premierhospitals.

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To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Maryland

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

1-240-632-4000

Additions Terminations

Internal medicineNandakishore Nemarugommula, MDNoelia Rodriguez, MD

Kensington Medical Center 10810 Connecticut Ave., Kensington, MD 20895

1-301-929-7100

Additions Terminations

Internal medicineNan Wang, MD

Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774

1-301-618-5500

Additions Terminations

ENT/OtolaryngologyJacqueline A. Wulu, MDAccepting new patients: Yes

ENT/OtolaryngologyWilliam C. Gray, MD

OphthalmologyMalav Joshi, MDAccepting new patients: Yes

Kaiser Permanente providers – Additions and Terminations

November 2021 Kaiser Permanente providers – Additions and Terminations

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4 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Maryland (continued)

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

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

1-301-209-6000

Additions Terminations

Internal medicineAntora Yazdan, DOAccepting new patients: Yes

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

1-410-737-5000

Additions Terminations

Oncology–radiation/Radiation oncologyTejan Diwanji, MDAccepting new patients: Yes

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

1-410-339-5500

Additions Terminations

PodiatryTomika Coleman, DPM

White Marsh Medical Center 4920 Campbell Blvd., Nottingham, MD 21236

1-410-933-7600

Additions Terminations

PsychiatrySafiyyah H. Abdul-Rahman, MDAccepting new patients: Yes

November 2021 Kaiser Permanente providers – Additions and Terminations

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Maryland (continued)

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Woodlawn Medical Center 7141 Security Blvd., Baltimore, MD 21244

1-443-663-6000

Additions Terminations

OphthalmologyTheresa Retue Kramer, MD

Virginia

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

1-703-287-6400

Additions Terminations

Spine surgeryFloreana Kebaish, MDAccepting new patients: Yes

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

1-703-490-8400

Additions Terminations

Internal medicineRon Martin Menorca, MDAccepting new patients: Yes

Internal medicineJonathan Justin Chou, MD

November 2021 Kaiser Permanente providers – Additions and Terminations

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6 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Maryland

Kensington Medical Center 10810 Connecticut Ave., Kensington, MD 20895

1-301-929-7100

Additions Terminations

Family practiceSahra Hossainzadha, MDAccepting new patients: Yes

Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774

1-301-618-5500

Additions Terminations

Oncology–medical, surgicalMonica Peravali, MDAccepting new patients: Yes

Internal medicineMalori Monet Callender, MD

PsychiatryRene Jovanie Stokes, MD

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

1-301-702-5000

Additions Terminations

Family practiceJency Thomas, MD

October 2021 Kaiser Permanente providers – Additions and Terminations

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Maryland (continued)

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

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

1-410-737-5000

Additions Terminations

EndocrinologySamim Enayat, MDAccepting new patients: Yes

Family practiceMaria Wiisichong Madah, MDAccepting new patients: No

White Marsh Medical Center 4920 Campbell Blvd., Nottingham, MD 21236

1-410-933-7600

Additions Terminations

PsychiatryElliott Mason Gauer, DO

Virginia

Alexandria Medical Center 3000 Potomac Ave., Alexandria, VA 22305

1-703-721-6300

Additions Terminations

Family practiceMaya Sukkari, MDAccepting new patients: Yes

October 2021 Kaiser Permanente providers – Additions and Terminations

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8 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Virginia (continued)

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

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

1-703-934-5700

Additions Terminations

Family practiceJaspreet S. Ahuja, DOAccepting new patients: Yes

Internal medicineArsalan Zaeem Khawaja, MD

Fredericksburg Medical Center 1201 Hospital Drive, Fredericksburg, VA 22401

1-540-368-3700

Additions Terminations

Gynecology, Ob/GynAnh Truong Butz, MDAccepting new patients: Yes

Springfield Medical Center 6501 Loisdale Court, Springfield, VA 22150

1-703-922-1000

Additions Terminations

Plastic surgeryChun H. Rhim, MD

October 2021 Kaiser Permanente providers – Additions and Terminations

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Virginia (continued)

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

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

1-703-287-6400

Additions Terminations

Oncology–medical, surgicalArchana B. Jadhav, MDAccepting new patients: Yes

Plastic surgeryChun H. Rhim, MD

PulmonologyJoshpaul Singh Jolly, MDAccepting new patients: Yes

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

1-703-490-8400

Additions Terminations

Internal medicineAthreya J. Tata, MDAccepting new patients: Yes

Internal medicineAlan H. Wynn, MD

October 2021 Kaiser Permanente providers – Additions and Terminations

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10 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

District of Columbia

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

1-202-346-3000

Additions Terminations

GastroenterologyVictor Ciofoaia, MD

Maryland

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

1-301-702-6100

Additions Terminations

Internal medicineDonique A. Cross, MDAccepting new patients: Yes

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

1-240-632-4000

Additions Terminations

DermatologyKara Yakish, MD

EndocrinologyJanet Myra Noel, MD

September 2021 Kaiser Permanente providers – Additions and Terminations

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Maryland (continued)

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 11

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Kensington Medical Center 10810 Connecticut Ave., Kensington, MD 20895

1-301-929-7100

Additions Terminations

Family practiceTasnim Azim, DOAccepting new patients: Yes

Internal medicineDaren Yang, DOAccepting new patients: Yes

Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774

1-301-618-5500

Additions Terminations

ENT/OtolaryngologyJeffrey Ian Glicksman, MDAccepting new patients: Yes

EndocrinologyJanet Myra Noel, MD

Orthopedic surgeryEric Yakish, MD

Spine SurgeryEric Yakish, MD

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

1-301-702-5000

Additions Terminations

Family practiceVernesha Montgomery, MDAccepting new patients: Yes

Gynecology, Ob/GynJessica Ijeoma Ubanyionwu, MDAccepting new patients: No

September 2021 Kaiser Permanente providers – Additions and Terminations

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Maryland (continued)

12 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

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

1-301-209-6000

Additions Terminations

Internal medicineHanadi Shamkhani, MD

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

1-410-737-5000

Additions Terminations

Family practiceAdrienne Victoria Lafleur, MDAccepting new patients: Yes

Internal medicineAbigail Mandelah Hamilton, MDAccepting new patients: Yes

Woodlawn Medical Center 7141 Security Blvd., Baltimore, MD 21244

1-443-663-6000

Additions Terminations

Oncology–medical, surgicalEmily K. Fay, MDAccepting new patients: Yes

September 2021 Kaiser Permanente providers – Additions and Terminations

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To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Virginia

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

1-703-249-7700

Additions Terminations

Family practiceFarah Ansari, MDAccepting new patients: Yes

Sarah A. Chacko, MDAccepting new patients: Yes

Family practiceNader Hussein Silver, MD

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

1-703-934-5700

Additions Terminations

OphthalmologyKatherine McCabe, MDAccepting new patients: Yes

Falls Church Medical Center 201 North Washington St., Falls Church, VA 22046

1-703-237-4000

Additions Terminations

GastroenterologyNeena Malik, MDAccepting new patients: Yes

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

1-703-287-6400

Additions Terminations

NeurologyJoseph Choi, MDAccepting new patients: Yes

General surgeryShani O.M. Belgrave-Heath, MD

September 2021 Kaiser Permanente providers – Additions and Terminations

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14 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

District of Columbia

Northwest DC Medical Office Building 2301 M St. NW, Washington, DC 20037

1-202-419-6200

Additions Terminations

Internal medicineSilvia Picciafuoco, MD

Maryland

Abingdon Medical Center 3400 Box Hill Corporate Center Dr., Suite 100, Abingdon, MD 21009

1-410-515-5440

Additions Terminations

GastroenterologyDamodar Pandey, MD

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

1-410-637-5700

Additions Terminations

Family practiceAllison Rague, MD

Kaiser Permanente Frederick Medical Center 7190 Crestwood Blvd., Frederick, MD 21703

1-240-529-1700

Additions Terminations

Family practiceHansel E. Lee, MD

Gynecology, Ob/GynMichele Lynn Eno, MD

August 2021 Kaiser Permanente providers – Additions and Terminations

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Maryland (continued)

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 15

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

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

1-240-632-4000

Additions Terminations

Internal medicineKatrina Hsieh, DOAccepting new patients: No

Internal medicineSo Yeon Chung, MD

Kensington Medical Center 10810 Connecticut Ave., Kensington, MD 20895

1-301-929-7100

Additions Terminations

Internal medicineUma B. Prasad, MD

Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774

1-301-618-5500

Additions Terminations

Internal medicineKamani N. Karandana, MD

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

1-301-702-5000

Additions Terminations

Gynecology, Ob/GynMechele Silva, MD

August 2021 Kaiser Permanente providers – Additions and Terminations

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Maryland (continued)

16 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

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

1-301-209-6000

Additions Terminations

Internal medicineJuliana Llano, MD

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

1-301-572-1000

Additions Terminations

Family practiceDimitri Yayi Coupet, MD

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

1-410-737-5000

Additions Terminations

GastroenterologyDamodar Pandey, MD

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

1-410-339-5500

Additions Terminations

GastroenterologyDamodar Pandey, MD

August 2021 Kaiser Permanente providers – Additions and Terminations

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ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 17

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Virginia

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

1-703-249-7700

Additions Terminations

Family practiceNagui N. Saleh, MD

PsychiatryVeronica Slootsky, MD

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

1-540-602-6500

Additions Terminations

General surgeryAnne Stuart Roberts, MD

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

1-703-934-5700

Additions Terminations

General surgeryAnne Stuart Roberts, MD

Internal medicinePaul H. McClain, MD

OphthalmologyJames W. Slack, MD

August 2021 Kaiser Permanente providers – Additions and Terminations

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Virginia (continued)

18 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Falls Church Medical Center 201 North Washington St., Falls Church, VA 22046

1-703-237-4000

Additions Terminations

Gynecology, Ob/GynSimon Arn Wilson, MD

Springfield Medical Center 6501 Loisdale Court, Springfield, VA 22150

1-703-922-1000

Additions Terminations

General surgeryAnne Stuart Roberts, MD

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

1-703-287-6400

Additions Terminations

General surgeryAnne Stuart Roberts, MD

August 2021 Kaiser Permanente providers – Additions and Terminations

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ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 19

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Maryland

Kensington Medical Center 10810 Connecticut Ave., Kensington, MD 20895

1-301-929-7100

Additions Terminations

Internal medicineKriti Kalra, MD

Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774

1-301-618-5500

Additions Terminations

Gynecology, Ob/GynDiana G. Soffer, MD

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

1-410-737-5000

Additions Terminations

Internal medicineWanda J. Wicks, MD

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

1-410-339-5500

Additions Terminations

Internal medicineDione Chua, MD

July 2021 Kaiser Permanente providers – Additions and Terminations

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20 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Virginia

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

1-703-249-7700

Additions Terminations

PsychiatryErik Frost, MD

Falls Church Medical Center 201 North Washington St., Falls Church, VA 22046

1-703-237-4000

Additions Terminations

PsychiatryLeonardo Cubillos, MD

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

1-703-490-8400

Additions Terminations

Gynecology, Ob/GynBeverly J. Waddell-Jiggetts, MD

July 2021 Kaiser Permanente providers – Additions and Terminations

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To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

District of Columbia

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

1-202-346-3000

Additions Terminations

OphthalmologyBriggs Boynton Bralliar, MD

Maryland

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

1-301-702-6100

Additions Terminations

Internal medicineDilasha Katwal, MD

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

1-240-632-4000

Additions Terminations

Gynecology, Ob/GynFarzaneh Lolachi Sabi, MDAccepting new patients: Yes

Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774

1-301-618-5500

Additions Terminations

Orthopedic surgeryJohn Tis, MDAccepting new patients: Yes

ENT/OtolaryngologyMargot Elizabeth Clasquin, MD

June 2021 Kaiser Permanente providers – Additions and Terminations

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Maryland (continued)

22 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

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

1-301-702-5000

Additions Terminations

Family practiceVeena S. Mysore, MD

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

1-301-548-5700

Additions Terminations

Family practiceSandra L. Swann, MD

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

1-301-572-1000

Additions Terminations

PsychiatryLorenzo Miguel Santos Gutierrez, MD

Woodlawn Medical Center 7141 Security Blvd., Baltimore, MD 21244

1-443-663-6000

Additions Terminations

PsychiatryHelen Bellete, MD

June 2021 Kaiser Permanente providers – Additions and Terminations

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ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 23

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Virginia

Manassas Medical Center 10701 Rosemary Drive, Manassas, VA 20109

1-703-257-3000

Additions Terminations

Internal medicineMolly Clare Davis, MD

June 2021 Kaiser Permanente providers – Additions and Terminations

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24 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

District of Columbia

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

1-202-346-3000

Additions Terminations

Orthopedic surgeryThomas Ivan Krisztinicz, MD

Spine surgeryThomas Ivan Krisztinicz, MD

Maryland

Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774

1-301-618-5500

Additions Terminations

Orthopedic surgeryMin Lu, MDAccepting new patients: Yes

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

1-410-339-5500

Additions Terminations

GastroenterologyFariha Hanif Ramay, MDAccepting new patients: Yes

May 2021 Kaiser Permanente providers – Additions and Terminations

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Maryland (continued)

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 25

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Woodlawn Medical Center 7141 Security Blvd., Baltimore, MD 21244

1-443-663-6000

Additions Terminations

OphthalmologyBeth Erin Cunningham, MDAccepting new patients: Yes

Virginia

Springfield Medical Center 6501 Loisdale Court, Springfield, VA 22150

1-703-922-1000

Additions Terminations

DermatologyBrittany P. Smirnov, DOAccepting new patients: Yes

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

1-703-287-6400

Additions Terminations

Orthopedic surgeryThomas Ivan Krisztinicz, MD

Spine surgeryThomas Ivan Krisztinicz, MD

May 2021 Kaiser Permanente providers – Additions and Terminations

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26 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Maryland

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

1-240-632-4000

Additions Terminations

NeurologyRichard John McCarthy, MDAccepting new patients: Yes

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

1-301-572-1000

Additions Terminations

Family practiceAlisha Tuteja, MDAccepting new patients: Yes

Virginia

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

1-540-602-6500

Additions Terminations

UrologySteven P. Guarnaccia, MD

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

1-703-934-5700

Additions Terminations

UrologySteven P. Guarnaccia, MD

April 2021 Kaiser Permanente providers – Additions and Terminations

Page 27: 2021 Kaiser Permanente Medicare Advantage (HMO) …

Virginia (continued)

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 27

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

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

1-703-287-6400

Additions Terminations

OphthalmologyKim Jiramongkolchai, MDAccepting new patients: Yes

UrologySteven P. Guarnaccia, MD

April 2021 Kaiser Permanente providers – Additions and Terminations

Page 28: 2021 Kaiser Permanente Medicare Advantage (HMO) …

28 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Maryland

Kaiser Permanente Frederick Medical Center 7190 Crestwood Blvd., Frederick, MD 21703

1-240-529-1700

Additions Terminations

Family practiceColeen L. Johnson, MDAccepting new patients: Yes

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

1-240-632-4000

Additions Terminations

Allergy and ImmunologyBetty W. Chang, MD

Kensington Medical Center 10810 Connecticut Ave., Kensington, MD 20895

1-301-929-7100

Additions Terminations

Oncology–radiation/Radiation oncologyAmy Marie Gillis, MDAccepting new patients: Yes

Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774

1-301-618-5500

Additions Terminations

Allergy and ImmunologyBetty W. Chang, MD

March 2021 Kaiser Permanente providers – Additions and Terminations

Page 29: 2021 Kaiser Permanente Medicare Advantage (HMO) …

Maryland (continued)

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 29

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

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

1-301-572-1000

Additions Terminations

PsychiatryMaria Lourdes Castineira Garcia, MD

Virginia

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

1-540-602-6500

Additions Terminations

Oncology–medical, surgicalAndrei Marconescu, MD

PulmonologyBarry J. Decker, MD

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

1-703-287-6400

Additions Terminations

NeurologyDavid Charles Lipps, MD

Oncology–medical, surgicalAndrei Marconescu, MD

PulmonologyBarry J. Decker, MD

March 2021 Kaiser Permanente providers – Additions and Terminations

Page 30: 2021 Kaiser Permanente Medicare Advantage (HMO) …

Virginia (continued)

30 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

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

1-703-490-8400

Additions Terminations

Gynecology, Ob/GynJohn Devlin Long Jr., MD

March 2021 Kaiser Permanente providers – Additions and Terminations

Page 31: 2021 Kaiser Permanente Medicare Advantage (HMO) …

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 31

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

District of Columbia

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

1-202-346-3000

Additions Terminations

Gynecology, Ob/GynAshley Danielle Thompson, MD

Maryland

Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774

1-301-618-5500

Additions Terminations

PulmonologyNilika Chaudhary, MDAccepting new patients: Yes

Virginia

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

1-703-249-7700

Additions Terminations

Internal medicineKatherine Elizabeth Rutledge, MDAccepting new patients: Yes

February 2021 Kaiser Permanente providers – Additions and Terminations

Page 32: 2021 Kaiser Permanente Medicare Advantage (HMO) …

Virginia (continued)

32 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

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

1-703-709-1500

Additions Terminations

Internal medicineEsther Rhee, DOAccepting new patients: Yes

DermatologyMargaret Bowden Kopelman, MD

Springfield Medical Center 6501 Loisdale Court, Springfield, VA 22150

1-703-922-1000

Additions Terminations

Family practiceFrances Ding, DOAccepting new patients: Yes

Internal medicineSarah Hamed Elfeky, MD

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

1-703-287-6400

Additions Terminations

Internal medicineCarma Yaghi, MDAccepting new patients: Yes

PodiatryMark Louis Miller, DPM

February 2021 Kaiser Permanente providers – Additions and Terminations

Page 33: 2021 Kaiser Permanente Medicare Advantage (HMO) …

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 33

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Maryland

Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774

1-301-618-5500

Additions Terminations

DermatologyNina Sabzevari, DOAccepting new patients: Yes

Infectious diseasesSaadia J. Griffith-Howard, MD

Woodlawn Medical Center 7141 Security Blvd., Baltimore, MD 21244

1-443-663-6000

Additions Terminations

Oncology hematologyJanet Cooper, MD

Virginia

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

1-540-602-6500

Additions Terminations

EndocrinologySandeep Kaur Dhaliwal, MD

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

1-703-709-1500

Additions Terminations

Internal medicineSeonae Pak, MD

January 2021 Kaiser Permanente providers – Additions and Terminations

Page 34: 2021 Kaiser Permanente Medicare Advantage (HMO) …

Virginia (continued)

34 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Springfield Medical Center 6501 Loisdale Court, Springfield, VA 22150

1-703-922-1000

Additions Terminations

Family practiceKelly Brown, DO

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

1-703-287-6400

Additions Terminations

Orthopedic surgeryHaroon Hussain, MDAccepting new patients: Yes

Internal medicineTahanie Osman, MD

January 2021 Kaiser Permanente providers – Additions and Terminations

Page 35: 2021 Kaiser Permanente Medicare Advantage (HMO) …

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 35

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Maryland

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

1-301-702-5000

Additions Terminations

Gynecology, Ob/GynKimone A. Powell, MD

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

1-410-737-5000

Additions Terminations

CardiologyJohn Seth Golden, MD

GastroenterologyArpan H. Patel, MD

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

1-410-339-5500

Additions Terminations

Family practiceSabaina Arshad, MD

GastroenterologyArpan H. Patel, MD

December 2020 Kaiser Permanente providers – Additions and Terminations

Page 36: 2021 Kaiser Permanente Medicare Advantage (HMO) …

36 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Maryland (continued)

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

White Marsh Medical Center 4920 Campbell Blvd., Nottingham, MD 21236

1-410-933-7600

Additions Terminations

PsychiatryIngrid Chelagat Orinda, MD

Virginia

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

1-540-602-6500

Additions Terminations

CardiologyJohn Seth Golden, MD

Falls Church Medical Center 201 North Washington St., Falls Church, VA 22046

1-703-237-4000

Additions Terminations

Internal medicineBryan Matthew Senisi, DO

Springfield Medical Center 6501 Loisdale Court, Springfield, VA 22150

1-703-922-1000

Additions Terminations

Internal medicineBethune Grindley, MD

December 2020 Kaiser Permanente providers – Additions and Terminations

Page 37: 2021 Kaiser Permanente Medicare Advantage (HMO) …

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 37

Virginia (continued)

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

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

1-703-287-6400

Additions Terminations

CardiologyJohn Seth Golden, MD

Orthopedic surgeryDonald Avram Saroff, MD

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

1-703-490-8400

Additions Terminations

Family practiceFetnat Faye Masri-Imadi, MD

December 2020 Kaiser Permanente providers – Additions and Terminations

Page 38: 2021 Kaiser Permanente Medicare Advantage (HMO) …

38 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

District of Columbia

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

1-202-346-3000

Additions Terminations

GastroenterologyVictor Ciofoaia, MDAccepting new patients: Yes

Maryland

Annapolis Medical Center 888 Bestgate Road, Annapolis, MD 21401

1-410-571-7300

Additions Terminations

Family practiceMing Y. Li, MDAccepting new patients: Yes

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

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

1-410-637-5700

Additions Terminations

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

November 2020 Kaiser Permanente providers – Additions and Terminations

Page 39: 2021 Kaiser Permanente Medicare Advantage (HMO) …

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 39

Maryland (continued)

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

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

1-240-632-4000

Additions Terminations

DermatologyCourtney Jade Ensslin, MDAccepting new patients: Yes

Internal medicineLeszek Karowiec, MDNevi Patel, MD

Internal medicineSahar Aslani Jahan, MDAccepting new patients: Yes

Chris Chung-Hyun Park, MDAccepting new patients: Yes

Ghazaleh Rahbari, MDAccepting new patients: Yes

Ke Sun, MDAccepting new patients: Yes

NeurologyNatalia Maria Llanes, MDAccepting new patients: Yes

Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774

1-301-618-5500

Additions Terminations

CardiologyRuth Tamrat, MDAccepting new patients: Yes

Chronic pain managementKamran Akhavan Saraf, MD

General surgeryShirley Xing, DODermatology

Omolara Mojisola Olowoyeye, MDAccepting new patients: Yes

ENT/OtolaryngologyMargot Elizabeth Clasquin, MDAccepting new patients: Yes

William C. Gray, MDAccepting new patients: Yes

(continued)

November 2020 Kaiser Permanente providers – Additions and Terminations

Page 40: 2021 Kaiser Permanente Medicare Advantage (HMO) …

40 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Maryland (continued)

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Largo Medical Center 1221 Mercantile Lane, Largo, MD 20774

1-301-618-5500

Additions Terminations

GastroenterologyFolabomi Christianah Ajanaku, MDAccepting new patients: Yes

Gynecology, Ob/GynDalila Harvey-Granger, MDAccepting new patients: Yes

Tina Musa, DOAccepting new patients: Yes

Internal medicineKymia Khosrowani, MDAccepting new patients: Yes

William Edwin Towne, MDAccepting new patients: Yes

OphthalmologyRonak Sandeep Patel, MDAccepting new patients: Yes

PulmonologyEdward Kenneth Len, MDAccepting new patients: Yes

Nancy MacGarvey, MDAccepting new patients: Yes

UrologyMichael Alan Fenstermaker, MDAccepting new patients: Yes

Todd Brian Tescher, MDAccepting new patients: Yes

November 2020 Kaiser Permanente providers – Additions and Terminations

Page 41: 2021 Kaiser Permanente Medicare Advantage (HMO) …

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 41

Maryland (continued)

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

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

1-301-702-5000

Additions Terminations

GeneticsJasmin Roohi, MDAccepting new patients: Yes

Pim Suwannarat, MDAccepting new patients: Yes

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

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

1-410-508-7650

Additions Terminations

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

OphthalmologySupriya Goyal, MD

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

1-301-209-6000

Additions Terminations

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

Internal medicineJihyun Ann Jun, DOAccepting new patients: Yes

Chioma Ohalete, DOAccepting new patients: Yes

November 2020 Kaiser Permanente providers – Additions and Terminations

Page 42: 2021 Kaiser Permanente Medicare Advantage (HMO) …

42 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Maryland (continued)

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

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

1-301-572-1000

Additions Terminations

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

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

1-410-737-5000

Additions Terminations

General surgeryCatherine Skelley Denkler, MDAccepting new patients: Yes

Gynecology, Ob/GynCynthia Clunie Cesaire, MDAccepting new patients: Yes

Nika Vinson, MDAccepting new patients: No

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

1-410-339-5500

Additions Terminations

DermatologyJi Qi, MDAccepting new patients: Yes

ENT/OtolaryngologyNidhi Gupta, MDAccepting new patients: Yes

Gynecology, Ob/GynAlyssa R. Hammer, MDAccepting new patients: Yes

November 2020 Kaiser Permanente providers – Additions and Terminations

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ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 43

Maryland (continued)

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

White Marsh Medical Center 4920 Campbell Blvd., Nottingham, MD 21236

1-410-933-7600

Additions Terminations

PsychiatryElliott Mason Gauer, DOAccepting new patients: Yes

Woodlawn Medical Center 7141 Security Blvd., Baltimore, MD 21244

1-443-663-6000

Additions Terminations

OphthalmologyEva Devience, MDAccepting new patients: Yes

Theresa Retue Kramer, MDAccepting new patients: Yes

Benjamin Rubin, MDAccepting new patients: Yes

OphthalmologySupriya Goyal, MD

Virginia

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

1-540-602-6500

Additions Terminations

EndocrinologySandeep Kaur Dhaliwal, MDAccepting new patients: Yes

November 2020 Kaiser Permanente providers – Additions and Terminations

Page 44: 2021 Kaiser Permanente Medicare Advantage (HMO) …

44 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Virginia (continued)

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Falls Church Medical Center 201 North Washington St., Falls Church, VA 22046

1-703-237-4000

Additions Terminations

ENT/OtolaryngologyTawfiq Khoury, MDAccepting new patients: Yes

PsychiatryLeonardo Cubillos, MDAccepting new patients: Yes

Fredericksburg Medical Center 1201 Hospital Drive, Fredericksburg, VA 22401

1-540-368-3700

Additions Terminations

Gynecology, Ob/GynMatthew J. Werner, MD

Manassas Medical Center 10701 Rosemary Drive, Manassas, VA 20109

1-703-257-3000

Additions Terminations

Internal medicineBeverly J. Pfister, MD

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

1-703-709-1500

Additions Terminations

Gynecology, Ob/GynGeannie M. Bennett, MDAccepting new patients: Yes

November 2020 Kaiser Permanente providers – Additions and Terminations

Page 45: 2021 Kaiser Permanente Medicare Advantage (HMO) …

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 45

Virginia (continued)

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Springfield Medical Center 6501 Loisdale Court, Springfield, VA 22150

1-703-922-1000

Additions Terminations

GastroenterologyMitchell Kang, DOAccepting new patients: Yes

Gynecology, Ob/GynNahed Mahmoud Ezmerli, MDAccepting new patients: Yes

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

1-703-287-6400

Additions Terminations

CardiologyMichael John McArdle, MDAccepting new patients: Yes

General surgeryShirley Xing, DO

DermatologyAnnalise Abiodun, MDAccepting new patients: Yes

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

Gynecology, Ob/GynEunice J. Lee, MDAccepting new patients: Yes

PodiatryVirginia E. Parks, DPMAccepting new patients: Yes

November 2020 Kaiser Permanente providers – Additions and Terminations

Page 46: 2021 Kaiser Permanente Medicare Advantage (HMO) …

46 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

January 2021 Network primary care providers – Additions

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Maryland

Prince George’s County

Family practice

Debra Adkins Vereen, MDPROVIDER 317610Greater Baden Brandywine7450 Albert RoadBrandywine, MD 206131-301-888-2233Accepting New Patients: Yes

Page 47: 2021 Kaiser Permanente Medicare Advantage (HMO) …

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 47

November 2020 Network specialists – Additions

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Vascular surgery

Virginia

Fredericksburg City

Naren Gupta, MDVascular Institute of Virginia LLC1440 Central Park Blvd.Suite 108Fredericksburg, VA 224011-703-763-5224Accepting New Patients: Yes

Prince William County

Naren Gupta, MDVascular Institute of Virginia LLC14085 Crown CourtWoodbridge, VA 221931-703-763-5224Accepting New Patients: Yes

Page 48: 2021 Kaiser Permanente Medicare Advantage (HMO) …

48 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

November 2021 Network primary care providers – Terminations

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Family practice

Maryland

Baltimore County

John R. Brown, DO

Page 49: 2021 Kaiser Permanente Medicare Advantage (HMO) …

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 49

October 2021 Network primary care providers – Terminations

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Internal medicine

Maryland

Anne Arundel County

Barry I. Bercovitz, MD

Baltimore County

Todd L. Burstyn, MD

Page 50: 2021 Kaiser Permanente Medicare Advantage (HMO) …

50 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

September 2021 Network primary care providers – Terminations

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Internal medicine

Maryland

Baltimore County

Norberto Machiran, MD

Page 51: 2021 Kaiser Permanente Medicare Advantage (HMO) …

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 51

August 2021 Network primary care providers – Terminations

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Family practice

Maryland

Baltimore County

Joseph P. Connelly Jr., MD

Page 52: 2021 Kaiser Permanente Medicare Advantage (HMO) …

52 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

June 2021 Network primary care providers – Terminations

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Internal medicine

Maryland

Baltimore County

Agaton H. Escalante, MD

Harford County

Agaton H. Escalante, MD

Montgomery County

Antonio G. Uy, MD

Page 53: 2021 Kaiser Permanente Medicare Advantage (HMO) …

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 53

May 2021 Network primary care providers – Terminations

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Internal medicine

Maryland

Baltimore County

Elena D. Ghiaur, MD

Page 54: 2021 Kaiser Permanente Medicare Advantage (HMO) …

54 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

April 2021 Network primary care providers – Terminations

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Family practice

Maryland

Baltimore County

Sohail M. Qarni, MD

Frederick County

William H. Convey, MD

Virginia

Spotsylvania County

Tony J. Fiore, DO

Internal medicine

Maryland

Baltimore City

Richard S. Rees, MD

Prince George’s County

Tasneem Malik, MD

Page 55: 2021 Kaiser Permanente Medicare Advantage (HMO) …

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 55

March 2021 Network primary care providers – Terminations

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Family practice

Maryland

Baltimore County

Sylvia S. Chang, MD

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56 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

December 2020 Network primary care providers – Terminations

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Internal medicine

Virginia

Stafford County

James M. Desimone, MD

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ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 57

November 2020 Network primary care providers – Terminations

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Family practice

Maryland

Carroll County

Peter G. Uggowitzer, MD

Charles County

Paul E. Pritchett Sr., MD

Howard County

Christine A. Marino, MD

Virginia

Fairfax County

Kathleen Langan, MD

Loudoun County

Kathleen Langan, MD

Internal medicine

Maryland

Baltimore County

Paul Foster, MD

Prince George’s County

Jenny Y. Moy, MD

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November 2021 Network specialists – Terminations

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Cardiology

District of Columbia

Joseph A. Quash Jr., MD

Maryland

Montgomery County

Lauren A. Weber, MD

Chiropractor

Maryland

Prince George’s County

Louis S. Crivelli II, DC

Virginia

Arlington County

Louis J. Ziegler III, DC

Fairfax County

Lloyd C. Holmes Jr., DC

Dermatology

Maryland

Baltimore City

Bernard Cohen, MD

Baltimore County

Bernard Cohen, MD

Virginia

Fairfax City

Zetta M. Fayos, MD

ENT/Otolaryngology

Maryland

Baltimore City

Howard S. Hessan, MDRalph P. Tufano, MD

Baltimore County

Karl W. Diehn, MDRalph P. Tufano, MD

Howard County

Howard S. Hessan, MD

Gastroenterology

Maryland

Baltimore City

Christopher C. Fain, DO

Montgomery County

Alan N. Schulman, MD

Gynecology, Ob/Gyn

Maryland

Baltimore City

Jean R. Anderson, MD

Baltimore County

Jean R. Anderson, MD

Nephrology

Maryland

Prince George’s County

Jay A. Ocuin, MD

Oncology— medical, surgical

Maryland

Anne Arundel County

Harvinder Singh, MD

Ophthalmology

Maryland

Baltimore City

Malin L. Howard, MDTimothy J. McCulley, MDChristina R. Prescott, MD

Baltimore County

Christina R. Prescott, MD

Harford County

Christina R. Prescott, MD

Physiatry, rehabilitative medicine

Maryland

Anne Arundel County

Susan H. Zimmerman, MD

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November 2021 Network specialists – Terminations

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 59

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Psychiatry

Maryland

Baltimore City

Debbie L. Weaver, MD

Baltimore County

Edward J. Swanton, MD

Harford County

Edward J. Swanton, MD

Pulmonology

Maryland

Anne Arundel County

Ajay Behari, MDMark S. Gosnell, MDFrancois J. Gregoire, MD

Baltimore City

Emily P. Brigham, MD

Baltimore County

Ajay Behari, MDElizabeth Cifra, MDMark S. Gosnell, MDFrancois J. Gregoire, MDDaniel A. Grove, MDJason J. Marx, MDAnita Naik, DOPeter J. Sloane, MDStuart R. Willes, MD

Harford County

Ajay Behari, MDAnita Naik, DO

Virginia

Fairfax County

John B. Cleary, MD

Urology

Maryland

Anne Arundel County

Reynaldo P. Madrinan, MD

Baltimore City

Trinity J. Bivalacqua, MDReynaldo P. Madrinan, MDPhillip M. Pierorazio, MD

Baltimore County

Trinity J. Bivalacqua, MDReynaldo P. Madrinan, MDAndrew M. Shapiro, MD

Carroll County

Reynaldo P. Madrinan, MDAndrew M. Shapiro, MD

Harford County

Reynaldo P. Madrinan, MD

Howard County

Reynaldo P. Madrinan, MD

Montgomery County

Reynaldo P. Madrinan, MD

Prince George’s County

Reynaldo P. Madrinan, MD

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October 2021 Network specialists – Terminations

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Allergy and Immunology

Maryland

Baltimore City

Adhuna Chhabra, MD

Chiropractor

Maryland

Anne Arundel County

Lawrence S. Saez, DC

Virginia

Loudoun County

David M. Schleifer, DC

Prince William County

Melissa J. Anderson, DC

Dermatology

District of Columbia

Debra A. Coats-Walton, MD

ENT/Otolaryngology

Maryland

Montgomery County

James C. Denneny III, MD

Virginia

Fairfax County

Timothy J. Egan, MD

Gastroenterology

Maryland

Baltimore City

Ellen M. Stein, MD

Baltimore County

Ellen M. Stein, MD

General surgery

Maryland

Baltimore City

Jason D. Prescott, MD

Gynecology, Ob/Gyn

Maryland

Baltimore City

Carla M. Bossano, MD

Baltimore County

Samuel Akman, MDCarla M. Bossano, MDMaria C. Facadio Antero, MDRobert F. Pegues, MD

Neurology

Maryland

Baltimore City

Andrew L. Mammen, MDHorea Rus, MD

Neurosurgery

Maryland

Baltimore City

Sheng-Fu L. Lo, MD

Virginia

Arlington County

Abraham Kader, MD

Oncology— medical, surgical

Maryland

Baltimore City

Josephine L. Feliciano, MD

Ophthalmology

Maryland

Baltimore City

Richard J. Kolker, MD

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October 2021 Network specialists – Terminations

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Orthopedic surgery

Maryland

Baltimore City

Erik A. Hasenboehler, MDCasey J. Humbyrd, MDChristopher T. LeBrun, MD

Baltimore County

Christopher T. LeBrun, MD

Psychiatry

Maryland

Baltimore City

Adam I. Kaplin, MDThomas W. Koenig, MDCrystal C. Watkins, MD

Baltimore County

Carlos L. Azcarate, MDMarsden H. McGuire, MDCrystal C. Watkins, MD

Urology

Maryland

Anne Arundel County

Julio Chong, MD

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September 2021 Network specialists – Terminations

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Cardiology

Maryland

Baltimore City

Richard M. Pomerantz, MD

Prince George’s County

Patrick J. Devine, MD

Cardiothoracic surgery

Maryland

Baltimore City

Juan A. Sanchez, MD

Chiropractor

Maryland

Frederick County

George D. Beech, DC

Montgomery County

George D. Beech, DC

Virginia

Loudoun County

Taylor A. Taylor, DC

General surgery

Maryland

Baltimore County

Gustavo E. Bello Vincentelli, MD

Elizabeth A. Dovec, MD

Prince George’s County

Rene L. Gelber, MD

Gynecology, Ob/Gyn

Maryland

Prince George’s County

Elliece S. Smith, MD

Nephrology

Maryland

Baltimore County

Jennifer L. Eras, MD

Oncology— medical, surgical

Maryland

Anne Arundel County

Karl M. Kasamon, MD

Howard County

Karl M. Kasamon, MD

Ophthalmology

District of Columbia

Paul T. Gavaris, MD

Virginia

Fairfax County

Paul T. Gavaris, MD

Orthopedic surgery

Virginia

Fredericksburg City

Kurt R. Larson, MD

Spotsylvania County

Kurt R. Larson, MD

Podiatry

Maryland

Anne Arundel County

Sarah Malik, DPM

Baltimore County

Sarah Malik, DPM

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September 2021 Network specialists – Terminations

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 63

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Psychiatry

Maryland

Baltimore County

Jill Midthune, MD

Urology

Maryland

Charles County

Joseph G. Colonna, MD

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64 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

August 2021 Network specialists – Terminations

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Chiropractor

Virginia

Loudoun County

Miok Hyoun, DC

Prince William County

Curtis L. Reinkemeyer, DC

Dermatology

Maryland

Frederick County

Mary E. Kim, MD

Gastroenterology

Maryland

Montgomery County

Richard L. Gelfand, MD

Gynecology, Ob/Gyn

Maryland

Prince George’s County

Davoud Assili, MD

Nephrology

Maryland

Baltimore County

Folatomi Agbe-Davies, MD

Neurology

Maryland

Baltimore City

Rebecca F. Gottesman, MD

Virginia

Arlington County

Eric W. Czander, MDFaye R. Rosenbaum, MD

Oncology— medical, surgical

Maryland

Baltimore City

Jonathan D. Powell, MD

Frederick County

Umera A. Thebo, MD

Ophthalmology

Maryland

Anne Arundel County

Rohit R. Lakhanpal, MD

Baltimore City

Rohit R. Lakhanpal, MD

Baltimore County

Rohit R. Lakhanpal, MD

Carroll County

Rohit R. Lakhanpal, MD

Montgomery County

Jonathan S. Lyons, MD

Psychiatry

Maryland

Prince George’s County

Jemima A. Kankam, MD

Urology

Maryland

Baltimore County

Leslie M. Abramowitz, MD

Carroll County

Leslie M. Abramowitz, MD

Frederick County

Mohammed M. Mohiuddin, MD

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ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 65

July 2021 Network specialists – Terminations

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Chiropractor

District of Columbia

Eric J. Doyle, DC

Maryland

Calvert County

Daniel E. Collins, DC

Virginia

Fairfax County

Hae Yong Chung, DCKate E. Petersen, DC

Loudoun County

Eric J. Doyle, DCErin E. Houseknecht, DC

Dermatology

Virginia

Fairfax County

Caitlin Fink, DO

ENT/Otolaryngology

Maryland

Baltimore City

Enzo Cosentino, MD

Gastroenterology

Maryland

Baltimore County

Christopher Y. Kim, MD

General surgery

Maryland

Baltimore City

George M. Meyer, MD

Howard County

George M. Meyer, MD

Gynecology, Ob/Gyn

Maryland

Montgomery County

Pablo V. Renart, MD

Neurology

Maryland

Baltimore City

Vinay Chaudhry, MD

Baltimore County

Vinay Chaudhry, MD

Neurosurgery

Maryland

Baltimore City

Daniele Rigamonti, MDHector E. Soriano-Baron, MD

Montgomery County

Daniele Rigamonti, MD

Ophthalmology

District of Columbia

Anna Park, MD

Maryland

Anne Arundel County

David R. Watt, MD

Montgomery County

David R. Watt, MD

Prince George’s County

David R. Watt, MD

Psychiatry

Maryland

Baltimore City

James C. Harris Jr., MDJeanne C. Serafin, MD

Pulmonology

Maryland

Baltimore City

David J. Feller-Kopman, MD

Baltimore County

Jasvinder Singh, MD

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66 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

June 2021 Network specialists – Terminations

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Cardiology

Maryland

Montgomery County

Steven K. Kaufman, MD

Chiropractor

Virginia

Fairfax City

Kenneth P. May, DC

Fairfax County

Kenneth P. May, DCSteven A. Snyder, DC

Loudoun County

Craig P. John, DC

Neurology

Virginia

Prince William County

Aysegul C. Soyer, MD

Oncology— medical, surgical

Maryland

Montgomery County

Linda M. Burrell, MD

Oncology—Radiation/ Radiation oncology

Virginia

Alexandria City

Susan E. Boylan, MD

Fairfax County

Susan E. Boylan, MD

Loudoun County

Susan E. Boylan, MD

Prince William County

Susan E. Boylan, MD

Rheumatology

Maryland

Baltimore City

Peter A. Holt, MD

Urology

Maryland

Prince George’s County

Harbhajan S. Ajrawat, MD

Virginia

Arlington County

Jeremy Kelley, DO

Vascular surgery

Maryland

Montgomery County

Shan-E-Ali Haider, MDRichard A. Silva, MD

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ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 67

May 2021 Network specialists – Terminations

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Chiropractor

Maryland

Baltimore County

John J. Davidson III, DCBrian S. Keen, DC

Frederick County

Ian Newman, DC

Harford County

John J. Davidson III, DC

Virginia

Fairfax County

Jennifer L. Baird, DC

Gynecology, Ob/Gyn

Maryland

Baltimore County

Arthur W. Nauman, MD

Neurology

Maryland

Baltimore City

Kathryn R. Wagner, MD

Montgomery County

Irina A. Skopets, MD

Neurosurgery

Maryland

Baltimore City

Charles J. Lancelotta, MD

Howard County

Charles J. Lancelotta, MD

Prince George’s County

Charles J. Lancelotta, MD

Oncology— medical, surgical

Maryland

Baltimore County

Madhu Chaudhry, MD

Ophthalmology

Maryland

Baltimore City

Abraham Auerbach, MD

Baltimore County

Abraham Auerbach, MD

Howard County

Abraham Auerbach, MD

Physiatry, rehabilitative medicine

Maryland

Baltimore City

Irfan M. Elahi, DO

Baltimore County

Irfan M. Elahi, DO

Howard County

Irfan M. Elahi, DO

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April 2021 Network specialists – Terminations

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Allergy and Immunology

Maryland

Baltimore County

David B. Golden, MDJonathan Matz, MD

Harford County

David B. Golden, MDJonathan Matz, MD

Cardiology

Virginia

Fairfax County

Hamid Taheri, MD

Chiropractor

Maryland

Baltimore County

Barbara L. Downes, DC

Dermatology

Virginia

Loudoun County

Tinatin Gotsiridze, MD

Gastroenterology

Maryland

Baltimore City

Anthony N. Kalloo, MDVivek Kumbhari, MD

Baltimore County

Anthony N. Kalloo, MDVivek Kumbhari, MDLisa S. Pichney, MD

General surgery

District of Columbia

Colette M. Magnant, MD

Maryland

Baltimore City

Christopher L. Wolfgang, MD

Gynecology, Ob/Gyn

Maryland

Anne Arundel County

Joy’El B. Ballard, MDMark Repka, MD

Baltimore City

Jairo E. Garcia, MD

Baltimore County

Jairo E. Garcia, MD

Infectious diseases

Maryland

Baltimore City

Charles B. Holmes, MD

Nephrology

Maryland

Baltimore City

Daphne H. Knicely, MD

Baltimore County

Shoaib Ali, MD

Howard County

Shoaib Ali, MD

Virginia

Fairfax County

Robert C. Mackow, MDJenny J. Nazzal, MD

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April 2021 Network specialists – Terminations

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 69

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Neurosurgery

Maryland

Baltimore City

Frederick A. Lenz, MDMichael Lim, MDDaniel M. Sciubba, MD

Baltimore County

Daniel M. Sciubba, MD

Montgomery County

Michael Lim, MD

Oncology— medical, surgical

Maryland

Anne Arundel County

Peter R. Graze, MD

Baltimore City

Adrian G. Murphy, MDJarushka Naidoo, MD

Ophthalmology

Maryland

Baltimore City

Leon Strauss, MD

Baltimore County

Stan L. Coleman, MD

Montgomery County

Frank A. Spellman, MD

Prince George’s County

Frank A. Spellman, MD

Virginia

Fredericksburg City

Frank A. Spellman, MD

Loudoun County

Frank A. Spellman, MD

Prince William County

Frank A. Spellman, MD

Pulmonology

Maryland

Baltimore City

Mark T. Jennings, MDNaresh M. Punjabi, MD

Rheumatology

Maryland

Prince George’s County

Edger V. Potter, MD

Vascular surgery

Maryland

Howard County

Bara Zuhaili, MD

Virginia

Fairfax County

Homayoun A. Hashemi, MD

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70 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

March 2021 Network specialists – Terminations

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Chiropractor

Maryland

Montgomery County

Walter P. Van Den Valentyne, DC

ENT/Otolaryngology

Maryland

Baltimore City

Charles W. Cummings, MD

Gastroenterology

Maryland

Montgomery County

Michael J. Schwartz, MD

General surgery

Virginia

Alexandria City

Timothy R. Shaver, MD

Fairfax County

Timothy R. Shaver, MD

Loudoun County

Timothy R. Shaver, MD

Gynecology, Ob/Gyn

Maryland

Baltimore City

Tochi O. Ibekwe, MD

Infectious diseases

Maryland

Baltimore City

Jennifer L. Holmes, MD

Neurology

Maryland

Baltimore City

Ned C. Sacktor, MD

Ophthalmology

District of Columbia

Samuel Stoleru, MD

Maryland

Baltimore City

Michael V. Boland, MD

Baltimore County

Michael V. Boland, MD

Harford County

Michael V. Boland, MD

Montgomery County

Marcus Colyer, MD

Virginia

Fairfax County

Marcus Colyer, MD

Loudoun County

Marcus Colyer, MD

Prince William County

Marcus Colyer, MD

Orthopedic surgery

Maryland

Baltimore City

Sameer Dixit, MD

Baltimore County

Sameer Dixit, MD

Plastic surgery

Maryland

Anne Arundel County

Joseph C. Orlando, MD

Baltimore County

Joseph C. Orlando, MD

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March 2021 Network specialists – Terminations

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 71

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Psychiatry

District of Columbia

Morris J. Chalick, MD

Urology

Maryland

Baltimore County

Alan M. Geringer, MD

Montgomery County

Amir H. Lebastchi, MD

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72 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

February 2021 Network specialists – Terminations

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Cardiology

Maryland

Baltimore City

David A. Meyerson, MD

Baltimore County

David A. Meyerson, MDShellee E. Nolan, MD

Chiropractor

District of Columbia

Chin-Wan Cho, DC

Maryland

Baltimore City

Yizhak Bushwick, DCMark L. Stutman, DC

Carroll County

Michael R. Bartel, DC

Montgomery County

Mark L. Stutman, DC

Virginia

Arlington County

Joshua C. Alvarado, DC

Fairfax County

Dalbir S. Bedi, DCJason T. Brown, DC

Orthopedic surgery

Maryland

Anne Arundel County

Terrence M. O’Donovan, MD

Physiatry, rehabilitative medicine

Maryland

Anne Arundel County

William Tham, MD

Psychiatry

Maryland

Howard County

Misty L. Borst, MD

Urology

Maryland

Anne Arundel County

Andrew C. Kramer, MD

Baltimore County

Karen E. Boyle, MD

Howard County

Karen E. Boyle, MD

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ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 73

January 2021 Network specialists – Terminations

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Dermatology

Maryland

Baltimore County

Mary Sheu, MD

Gastroenterology

Maryland

Baltimore City

Alan A. Rosen, MD

Gynecology, Ob/Gyn

Maryland

Montgomery County

Hartaj Powell, MD

Virginia

Fairfax County

Hartaj Powell, MD

Ophthalmology

Maryland

Anne Arundel County

Verinder S. Nirankari, MD

Baltimore City

Verinder S. Nirankari, MD

Baltimore County

Verinder S. Nirankari, MD

Podiatry

Virginia

Fredericksburg City

Brett Waverly, DPM

Spotsylvania County

Brett Waverly, DPM

Psychiatry

Maryland

Baltimore County

Constance Flanagan, MD

Howard County

Constance Flanagan, MD

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December 2020 Network specialists – Terminations

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Chiropractor

District of Columbia

Theodore E. Davidson III, DC

Maryland

Howard County

Peter R. Dexheimer, DC

Virginia

Fairfax County

Jessica D. Barnhart, DC

Loudoun County

Frankie Velez, DC

Prince William County

Jessica D. Barnhart, DC

Dermatology

Maryland

Baltimore City

Robert G. Egbers, MD

ENT/Otolaryngology

Maryland

Baltimore City

Choon M. Park, MD

Baltimore County

Michael D. Weiss, MD

Gynecology, Ob/Gyn

Maryland

Anne Arundel County

Rachel E. Chan Seay, MD

Baltimore City

Rachel E. Chan Seay, MDSharice R. Hammond, MDSvena D. Julien, MD

Virginia

Arlington County

Nisha A. Vyas, MD

Infectious diseases

Maryland

Baltimore City

Robin McKenzie, MD

Neurology

Maryland

Baltimore City

Ronald P. Lesser, MDSarah E. Nelson, MD

Oncology— medical, surgical

Maryland

Baltimore City

Enser W. Cole, MD

Virginia

Fairfax County

Raymond C. Wadlow, MD

Ophthalmology

Maryland

Baltimore City

Jerome Ross, MD

Baltimore County

Myron B. Blum, MD

Howard County

Jerome Ross, MD

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December 2020 Network specialists – Terminations

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 75

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Plastic surgery

Maryland

Baltimore City

Wei-Ping A. Lee, MD

Urology

Maryland

Baltimore City

Michael H. Johnson, MD

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76 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

November 2020 Network specialists – Terminations

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Cardiology

Maryland

Anne Arundel County

Mark G. Treuth, MD

Baltimore City

David A. Zimrin, MD

Carroll County

David A. Zimrin, MD

Montgomery County

Joann Urquhart, MD

Chiropractor

District of Columbia

Christian C. Gregory, DC

Maryland

Anne Arundel County

Raymond K. Barry, DCAdam L. Cohen, DCLief F. Hands, DC

Baltimore City

Scott D. Jarrett, DC

Frederick County

Brandon P. Steinbar, DC

Montgomery County

Dorothy L. Dalton-Sheridan, DCLisa B. Hepfer, DCSteven F. Lipschutz, DCMariella M. Young, DC

Virginia

Alexandria City

Jeffrey A. Brown, DC

Arlington County

Olya A. Morgen, DC

Fairfax City

Gregory K. Lee, DC

Fairfax County

Leroy A. Bazzarone, DCAndrew C. Jordan, DCGurutrang S. Khalsa, DC

Loudoun County

Joshua M. Sampson, DCEric R. Saxton, DC

Prince William County

Arshia B. Nozari, DC

Dermatology

District of Columbia

Nashay N. Clemetson, MDThomas P. Nigra, MD

Endocrinology

Maryland

Baltimore County

Francis Y. Lee, MD

Gastroenterology

Virginia

Arlington County

Mohammad E. Hoque, MD

General surgery

Maryland

Baltimore City

Bethany C. Sacks, MD

Gynecology, Ob/Gyn

Maryland

Baltimore County

Deborah L. Hebb, MD

Howard County

Lahaina R. Hall, MD

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November 2020 Network specialists – Terminations

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 77

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Nephrology

Maryland

Anne Arundel County

Nadia A. Chaudhri, MDVijay Kumar, MD

Baltimore County

Nadia A. Chaudhri, MD

Neurology

Maryland

Baltimore City

Elizabeth Barry, MD

Neurosurgery

Maryland

Baltimore City

Ira M. Garonzik, MD

Oncology— medical, surgical

Maryland

Baltimore City

Meyer R. Heyman, MD

Oncology—Radiation/ Radiation oncology

Virginia

Alexandria City

Glenn L. Tonnesen, MD

Fairfax County

Glenn L. Tonnesen, MD

Loudoun County

Glenn L. Tonnesen, MD

Prince William County

Glenn L. Tonnesen, MD

Ophthalmology

Virginia

Fairfax County

Brian Egan, MD

Orthopedic surgery

Virginia

Manassas City

Gabriel M. Gluck, MD

Plastic surgery

Maryland

Baltimore County

Kerry E. Owens, MD

Howard County

Kerry E. Owens, MD

Psychiatry

Maryland

Baltimore County

Maurice Bachawati, MDMerle C. McCann, MDAbdolazim Shahsavar, MD

Howard County

Abdolazim Shahsavar, MD

Prince George’s County

Sonia N. Tyutyulkova, MD

Rheumatology

Maryland

Baltimore City

Julius Birnbaum, MD

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November 2020 Network specialists – Terminations

78 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

To get the most up-to-date information about Kaiser Permanente’s network providers in your area, you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days a week, 8 a.m. to 8 p.m.

Urology

District of Columbia

Eric R. Emanuel, MD

Maryland

Anne Arundel County

Anand M. Dhanda, MD

Baltimore County

Anand M. Dhanda, MD

Montgomery County

Mark H. Ratner, MD

Prince George’s County

Eric R. Emanuel, MDFrank S. Melograna, MD

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November 2021 Updates to existing Kaiser Permanente providers

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 79

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.

District of Columbia

Specialty Provider Type of Change

Gynecology, Ob/Gyn Stephanie S. Hack, MDNorthwest DC Medical Office BuildingAccepting new patients: No

Accepting new patients change

Internal medicine Samuel Stone Ballew, DOKaiser Permanente Capitol Hill Medical CenterAccepting new patients: No

Accepting new patients change

Maryland

Specialty Provider Type of Change

Family practice Sharon Y. Chung, DONorth Arundel Medical CenterAccepting new patients: No

Accepting new patients change

Family practice David Jang, MDNorth Arundel Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Sherell Latonya Mason, MDBaltimore Harbor Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Allison Leigh Parker-Fahey, MDKensington Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Marie Pereira, DOWhite Marsh Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Naeha Kaw Quasba, MDWoodlawn Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Wendy Carolina Rosensweig, MDSilver Spring Medical CenterAccepting new patients: No

Accepting new patients change

Updates to existing Kaiser Permanente providers – November 2021

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November 2021 Updates to existing Kaiser Permanente providers

80 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Gynecology, Ob/Gyn Adrienne Anita Stevenson, MDPrince George’s Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Glynn Mark Thompson, MDGaithersburg Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Raj N. Yadav, MDSouth Baltimore County Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Michele Rene Arthurs, MDCamp Springs Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Sabine F. Balzora-Jackson, MDCamp Springs Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Darrell John Baranko, MDGaithersburg Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Karen Tapawan Chen, MDTowson Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Eva Dicocco, MDWoodlawn Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Nkechinyerem Eseonu-Ewoh, MDWoodlawn Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Zhihua Geng, MDWoodlawn Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Meeta Gulati, MDWhite Marsh Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Nicholas Hatate, DOPrince George’s Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Manish Jain, MDKensington Medical CenterAccepting new patients: Yes

Accepting new patients change

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November 2021 Updates to existing Kaiser Permanente providers

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 81

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Internal medicine Sindhu Thoppil James, MDWoodlawn Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Supriya Janakiraman, MDGaithersburg Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Heather Marie Kearney, MDPrince George’s Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Shirley Wynleen Lee, MDWoodlawn Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Robert Jason Levine, DOTowson Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Leopoldine Modjo Kenmogne, MDSouth Baltimore County Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Christelle Nong Libend, MDSouth Baltimore County Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Nkiruka Uzoamaka Obioha, MDTowson Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Sonal Dineshbhai Patel, MDKensington Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Meaza Gebre Selassie, MDGaithersburg Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Gaby Tesfaye, MDPrince George’s Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Mary Varkey, MDTowson Medical CenterAccepting new patients: No

Accepting new patients change

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November 2021 Updates to existing Kaiser Permanente providers

82 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Internal medicine Neelofar Wajahat, MDWoodlawn Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Charlotte Anne Watts, MDTowson Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Umme Yasmin, MDNorth Arundel Medical CenterAccepting new patients: No

Accepting new patients change

Virginia

Specialty Provider Type of Change

Family practice Rebecca Jane Davison, MDSpringfield Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Tejal Dharia, MDHaymarket Crossroads Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Riley Sean Dubois, MDHaymarket Crossroads Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Lisa Jenkins, MDFredericksburg Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Rachel Nicole Marquez, MDColonial Forge Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Michelle M. Tran, MDReston Medical CenterAccepting new patients: Yes

Accepting new patients change

Gynecology, Ob/Gyn Sheneika M. Walker, MDWoodbridge Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Olakunle Olusiji Abisuga, MDWoodbridge Medical CenterAccepting new patients: No

Accepting new patients change

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November 2021 Updates to existing Kaiser Permanente providers

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 83

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Virginia (continued)

Specialty Provider Type of Change

Internal medicine Sonya Adam, MDSpringfield Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Khadija I. Alvi, MDAshburn Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Esther Kim Bahk, MDSpringfield Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Yodit B. Benalfew, MDFair Oaks Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Vincent Chi-Min Chen, MDSpringfield Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Anna Agnieszka Kraszewska, MDReston Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Kusuma Kalyani Nanduri, MDFair Oaks Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Vu The Nguyen, MDFalls Church Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Juan Carlos Ortiz Perez, MDWoodbridge Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Katherine E. Rutledge, MDBurke Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Carole Assaad Shaddad, MDSpringfield Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine William A. Thistlethwaite, MDFalls Church Medical CenterAccepting new patients: Yes

Accepting new patients change

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84 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

October 2021 Updates to existing Kaiser Permanente providers

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.

District of Columbia

Specialty Provider Type of Change

Internal medicine Lisa R. Lee, MDNorthwest DC Medical Office BuildingAccepting new patients: Yes

Accepting new patients change

Maryland

Specialty Provider Type of Change

Family practice Rachel Bernice Hope, MDBaltimore Harbor Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Sherell Latonya Mason, MDBaltimore Harbor Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Allison Leigh Parker-Fahey, MDKensington Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Wendy Carolina Rosensweig, MDSilver Spring Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Marc E. Wilson, MDBaltimore Harbor Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Crystal P. Yeldell, MDMarlow Heights Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Nika Vinson, MDSouth Baltimore County Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Zoka Mazarei Afsar, DOGaithersburg Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Juliana H. Aruna, MDBowie Medical CenterAccepting new patients: Yes

Accepting new patients change

Updates to existing Kaiser Permanente providers – October 2021

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ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 85

October 2021 Updates to existing Kaiser Permanente providers

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Internal medicine Sevag Bananian, MDKensington Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Darrell John Baranko, MDGaithersburg Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Irina Bobrova Sherman, MDShady Grove Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Eva Dicocco, MDWoodlawn Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Nkechinyerem Eseonu-Ewoh, MDWoodlawn Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Chong Fang, MDTowson Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Zhihua Geng, MDWoodlawn Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Manish Jain, MDKensington Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Charis James, MDWhite Marsh Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Robert Jason Levine, DOTowson Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Nandakishore Nemarugommula, MDGaithersburg Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Nkiruka Uzoamaka Obioha, MDTowson Medical CenterAccepting new patients: Yes

Accepting new patients change

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86 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

October 2021 Updates to existing Kaiser Permanente providers

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Internal medicine Chioma A. Ohalete, MDPrince George’s Medical CenterProvider code: 18051

Name change

Internal medicine Joy Isomianwu Onaghise, MDBowie Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Patricia A. Oshodi, MDCamp Springs Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Chevonne Tenille Salmon-Ray, MDPrince George’s Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Meaza Gebre Selassie, MDGaithersburg Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Samuel A. Semegn, MDSilver Spring Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine William Edwin Towne, MDBowie Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Mary Varkey, MDTowson Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Neelofar Wajahat, MDWoodlawn Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Charlotte Anne Watts, MDTowson Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Sherry J. Weinstein-Mayer, MDBaltimore Harbor Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Miranda Efua Wellington, MDBowie Medical CenterAccepting new patients: Yes

Accepting new patients change

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ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 87

October 2021 Updates to existing Kaiser Permanente providers

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Virginia

Specialty Provider Type of Change

Dermatology Brittany L. Heffner, MDSpringfield Medical CenterProvider code: 16814

Name change

Family practice Riley Sean Dubois, MDHaymarket Crossroads Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Saurabh Gambhir, MDFair Oaks Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Akila V. Iyer, MDHaymarket Crossroads Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Mahvash Mujahid, MDFair Oaks Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Claria L. Prior, DOWoodbridge Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Claria L. Prior, DOWoodbridge Medical CenterProvider code: 16957

Name change

Family practice Christie Youssef, DOFair Oaks Medical CenterAccepting new patients: Yes

Accepting new patients change

Gynecology, Ob/Gyn Nicole Tate, MDFredericksburg Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Pritha Mahadevan Workman, MDSpringfield Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Summer Abdel-Megeed, MDTysons Corner Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Esther Kim Bahk, MDSpringfield Medical CenterAccepting new patients: Yes

Accepting new patients change

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88 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

October 2021 Updates to existing Kaiser Permanente providers

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Virginia (continued)

Specialty Provider Type of Change

Internal medicine Yodit B. Benalfew, MDFair Oaks Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Sowjanya Bhagavatula, MDWoodbridge Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Vincent Chi-Min Chen, MDSpringfield Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Jonathan Justin Chou, MDWoodbridge Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Suma Doppalapudi, MDAshburn Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Stuart Q. Hopkins, MDWoodbridge Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Anna Agnieszka Kraszewska, MDReston Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Manasi Pandit Long, MDBurke Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Priya Mathur, MDManassas Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Kusuma Kalyani Nanduri, MDFair Oaks Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Vu The Nguyen, MDFalls Church Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Juan Carlos Ortiz Perez, MDWoodbridge Medical CenterAccepting new patients: Yes

Accepting new patients change

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ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 89

October 2021 Updates to existing Kaiser Permanente providers

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Virginia (continued)

Specialty Provider Type of Change

Internal medicine Katherine Elizabeth Rutledge, MDBurke Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Katherine E. Rutledge, MDBurke Medical CenterProvider code: 18451

Name change

Internal medicine William A. Thistlethwaite, MDFalls Church Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Sarah Elizabeth Woessner, MDSpringfield Medical CenterAccepting new patients: No

Accepting new patients change

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September 2021 Updates to existing Kaiser Permanente providers

90 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.

District of Columbia

Specialty Provider Type of Change

General surgery Joyce Y. Wong, MDKaiser Permanente Capitol Hill Medical CenterProvider code: 17433

Name change

Internal medicine Douglas Mark Van Zoeren, MDKaiser Permanente Capitol Hill Medical CenterAccepting new patients: No

Accepting new patients change

Maryland

Specialty Provider Type of Change

Allergy and Immunology Adriano N. Salicru, MDBowie Fairwood Medical Center5400 Hillmeade RoadBowie, MD 207201-301-867-1300

Address/phone change

ENT/Otolaryngology Margot E. Clasquin, MDLargo Medical CenterProvider code: 14130

Name change

Family practice Oluwakemi Abosede Ajide, MDWhite Marsh Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Ayanna Marie Beard, MDMarlow Heights Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Stephanie Lynn Davis, MDAbingdon Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Raymond Dormevil, MDWoodlawn Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Rachel Bernice Hope, MDBaltimore Harbor Medical CenterAccepting new patients: No

Accepting new patients change

Updates to existing Kaiser Permanente providers – September 2021

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September 2021 Updates to existing Kaiser Permanente providers

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 91

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Family practice Sherell Latonya Mason, MDBaltimore Harbor Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Thuan-Hoa Nguyen, MDSilver Spring Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Maia Moraine Patel, MDAbingdon Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Marie Pereira, DOWhite Marsh Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Naeha Kaw Quasba, MDWoodlawn Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Jency Thomas, MDMarlow Heights Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Kathyann M. Walcott, MDSilver Spring Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Marc E. Wilson, MDBaltimore Harbor Medical CenterAccepting new patients: No

Accepting new patients change

General surgery Wudneh M. Temesgen, MDKensington Medical CenterLargo Medical CenterProvider code: 16122

Name change

Gynecology, Ob/Gyn Dalila Harvey-Granger, MDBowie Fairwood Medical Center5400 Hillmeade RoadBowie, MD 207201-301-867-1300

Address/phone change

Gynecology, Ob/Gyn Thomas C. Hogue, MDBowie Fairwood Medical Center5400 Hillmeade RoadBowie, MD 207201-301-867-1300

Address/phone change

Gynecology, Ob/Gyn Shillena Natalie Peters, MDSouth Baltimore County Medical CenterAccepting new patients: No

Accepting new patients change

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September 2021 Updates to existing Kaiser Permanente providers

92 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Gynecology, Ob/Gyn Nika Vinson, MDSouth Baltimore County Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Zoka Mazarei Afsar, DOGaithersburg Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Juliana H. Aruna, MDBowie Fairwood Medical Center5400 Hillmeade RoadBowie, MD 207201-301-867-1300

Address/phone change

Internal medicine Sharmila Aryal, MDKensington Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Yonas Ateshim, MDSouth Baltimore County Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Sabine F. Balzora-Jackson, MDCamp Springs Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Sevag Bananian, MDKensington Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Darrell John Baranko, MDGaithersburg Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Malori Monet Callender, MDLargo Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Karen Tapawan Chen, MDTowson Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Laura Emmanuel-Allen, MDWoodlawn Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Zhihua Geng, MDWoodlawn Medical CenterAccepting new patients: Yes

Accepting new patients change

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September 2021 Updates to existing Kaiser Permanente providers

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 93

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Internal medicine Yeneisha Greene, MDCamp Springs Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Jasmin Hans, MDWhite Marsh Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Manish Jain, MDKensington Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Charis James, MDWhite Marsh Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Supriya Janakiraman, MDGaithersburg Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Robert Jason Levine, DOTowson Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Alyssa Mary Mathew, DOWhite Marsh Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Leopoldine Modjo Kenmogne, MDSouth Baltimore County Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Christelle Nong Libend, MDSouth Baltimore County Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Joy I. Onaghise, MDBowie Fairwood Medical Center5400 Hillmeade RoadBowie, MD 207201-301-867-1300

Address/phone change

Internal medicine Yasmin Panahy, MDKensington Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Jennifer Y. Prendez, MDPrince George’s Medical CenterProvider code: 16932

Name change

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September 2021 Updates to existing Kaiser Permanente providers

94 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Internal medicine Jennifer Prendez, MDPrince George’s Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Barbara Ledesma Sanico, MDWhite Marsh Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Meaza Gebre Selassie, MDGaithersburg Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Samuel A. Semegn, MDSilver Spring Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine David Alden Smith, MDKensington Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Gina L. Standard, MDColumbia Gateway Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Gaby Tesfaye, MDPrince George’s Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine William E. Towne, MDBowie Fairwood Medical Center5400 Hillmeade RoadBowie, MD 207201-301-867-1300

Address/phone change

Internal medicine Mary Varkey, MDTowson Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Felecia S. Waddleton-Willis, DOColumbia Gateway Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Nan Wang, MDKensington Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Miranda E. Wellington, MDBowie Fairwood Medical Center5400 Hillmeade RoadBowie, MD 207201-301-867-1300

Address/phone change

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September 2021 Updates to existing Kaiser Permanente providers

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 95

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Internal medicine Jeffrey Michael Wharton, MDGaithersburg Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Dereje Woreta, MDSilver Spring Medical CenterAccepting new patients: No

Accepting new patients change

Ophthalmology Ruby A. Parikh, MDLargo Medical CenterProvider code: 398007

Name change

Orthopedic surgery Leonard F. Tassy, MDKensington Medical CenterProvider code: 8897

Name change

Pediatrics Adrienne Grace Collier, MDLargo Medical CenterAccepting new patients: Yes

Accepting new patients change

Pediatrics Mark Anthony Reed, MDLargo Medical CenterAccepting new patients: No

Accepting new patients change

Pediatrics Lynn S. Trombka, MDLargo Medical CenterAccepting new patients: No

Accepting new patients change

Psychiatry Shanda J. Smith, MDBowie Fairwood Medical Center5400 Hillmeade RoadBowie, MD 207201-301-867-1300

Address/phone change

Virginia

Specialty Provider Type of Change

Family practice Rebecca Jane Davison, MDSpringfield Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Saurabh Gambhir, MDFair Oaks Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Liliana Gomez-Medley, MDFalls Church Medical CenterAccepting new patients: Yes

Accepting new patients change

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September 2021 Updates to existing Kaiser Permanente providers

96 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Virginia (continued)

Specialty Provider Type of Change

Family practice Mahvash Mujahid, MDFair Oaks Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Cristina Natalia Policarpio, MDWoodbridge Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Andaleeb Rahman, MDFair Oaks Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Jeannette Tao, MDBurke Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Christie Youssef, DOFair Oaks Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Julie A. Ambrose, MDTysons Corner Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Toinette O. Chin, MDFair Oaks Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Toriseju D. Whyte, MDAlexandria Medical CenterProvider code: 321609

Name change

Gynecology, Ob/Gyn Pritha Mahadevan Workman, MDSpringfield Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Sonya Adam, MDSpringfield Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Yodit B. Benalfew, MDFair Oaks Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Jonathan Justin Chou, MDWoodbridge Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Kajal Dasgupta, MDFalls Church Medical CenterAccepting new patients: No

Accepting new patients change

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September 2021 Updates to existing Kaiser Permanente providers

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 97

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Virginia (continued)

Specialty Provider Type of Change

Internal medicine Suma Doppalapudi, MDAshburn Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Janet Marie Dougherty, MDSpringfield Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Diane Franchi, MDFredericksburg Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Stuart Q. Hopkins, MDWoodbridge Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Arsalan Zaeem Khawaja, MDFair Oaks Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Anna Agnieszka Kraszewska, MDReston Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Manasi Pandit Long, MDBurke Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Brandon Mark McElroy, MDWoodbridge Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Thu Bich Nguyen, MDFair Oaks Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Elena Short, MDWoodbridge Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Florence Anne Tchouaffi-Nana, MDWoodbridge Medical CenterAccepting new patients: No

Accepting new patients change

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August 2021 Updates to existing Kaiser Permanente providers

98 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.

District of Columbia

Specialty Provider Type of Change

Internal medicine Samuel Stone Ballew, DOKaiser Permanente Capitol Hill Medical CenterAccepting new patients: No

Accepting new patients change

Maryland

Specialty Provider Type of Change

Family practice Oluwakemi Abosede Ajide, MDWhite Marsh Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Sharon Y. Chung, DONorth Arundel Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Rachel Bernice Hope, MDBaltimore Harbor Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Allison Leigh Parker-Fahey, MDKensington Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Maia Moraine Patel, MDAbingdon Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Deborah Maria Thompson, MDMarlow Heights Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Kathyann M. Walcott, MDSilver Spring Medical CenterAccepting new patients: Yes

Accepting new patients change

Gynecology, Ob/Gyn Dalila Harvey-Granger, MDLargo Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Thomas Charles Hogue, MDLargo Medical CenterAccepting new patients: No

Accepting new patients change

Updates to existing Kaiser Permanente providers – August 2021

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August 2021 Updates to existing Kaiser Permanente providers

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 99

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Gynecology, Ob/Gyn Shillena Natalie Peters, MDSouth Baltimore County Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Nika Vinson, MDSouth Baltimore County Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Darrell John Baranko, MDGaithersburg Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Irina Bobrova Sherman, MDShady Grove Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Justin F. Capasso, MDTowson Medical Center1447 York Road, Suite 100Lutherville, MD 210931-410-339-5500

Address/phone change

Internal medicine Anuradha Dahiya, MDSilver Spring Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Florence Veronica Deza, MDColumbia Gateway Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Laura Emmanuel-Allen, MDWoodlawn Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Nkechinyerem Eseonu-Ewoh, MDWoodlawn Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Chong Fang, MDTowson Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Zhihua Geng, MDWoodlawn Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Alyssa Mary Mathew, DOWhite Marsh Medical CenterAccepting new patients: Yes

Accepting new patients change

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August 2021 Updates to existing Kaiser Permanente providers

100 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Internal medicine Rita Mathur, MDWhite Marsh Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Hanadi Shamkhani, MDPrince George’s Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Gaby Tesfaye, MDPrince George’s Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Mary Varkey, MDTowson Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Jeffrey Michael Wharton, MDGaithersburg Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Dereje Woreta, MDSilver Spring Medical CenterAccepting new patients: No

Accepting new patients change

Virginia

Specialty Provider Type of Change

Family practice Cristina Natalia Policarpio, MDWoodbridge Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Ashley A. Tennyson, MDFair Oaks Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Michelle M. Tran, MDReston Medical CenterProvider code: 15175

Name change

Family practice Minh-Chau Tran, MDReston Medical CenterAccepting new patients: Yes

Accepting new patients change

Gynecology, Ob/Gyn Julie A. Ambrose, MDTysons Corner Medical CenterAccepting new patients: No

Accepting new patients change

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August 2021 Updates to existing Kaiser Permanente providers

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 101

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Virginia (continued)

Specialty Provider Type of Change

Gynecology, Ob/Gyn Jennifer M. Biggs, MDFalls Church Medical Center201 N. Washington St.Falls Church, VA 220461-703-237-4000

Address/phone change

Gynecology, Ob/Gyn Toinette O. Chin, MDFair Oaks Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Kondeh A. Greaves, MDAshburn Medical Center43480 Yukon DriveAshburn, VA 201471-571-252-6000

Address/phone change

Gynecology, Ob/Gyn Gabriela Adriana Mandolesi, MDAshburn Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Nuru A. Robi, MDWoodbridge Medical Center14139 Potomac Mills RoadWoodbridge, VA 221921-703-490-8400

Address/phone change

Gynecology, Ob/Gyn Tammy Zelle Rosenthal, MDReston Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Krystilyn Washington, MDWoodbridge Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Pritha Mahadevan Workman, MDSpringfield Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Summer Abdel-Megeed, MDTysons Corner Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Olakunle Olusiji Abisuga, MDWoodbridge Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Esther Kim Bahk, MDSpringfield Medical CenterAccepting new patients: Yes

Accepting new patients change

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August 2021 Updates to existing Kaiser Permanente providers

102 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Virginia (continued)

Specialty Provider Type of Change

Internal medicine Alejandra Bustillo, MDFalls Church Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Jonathan Justin Chou, MDWoodbridge Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Stuart Q. Hopkins, MDWoodbridge Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Priya Mathur, MDManassas Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Kusuma Kalyani Nanduri, MDFair Oaks Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Bhavin Manubhai Patel, MDWoodbridge Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Elena Short, MDWoodbridge Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine William Carl Stallard, MDSpringfield Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Alan H. Wynn, MDWoodbridge Medical CenterAccepting new patients: Yes

Accepting new patients change

Uro-Gynecology Tiffany M. Sotelo, MDColonial Forge Medical CenterFair Oaks Medical CenterTysons Corner Medical CenterProvider code: 267536

Name change

Urology Tiffany M. Sotelo, MDColonial Forge Medical CenterFair Oaks Medical CenterTysons Corner Medical CenterProvider code: 267536

Name change

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July 2021 Updates to existing Kaiser Permanente providers

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 103

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.

District of Columbia

Specialty Provider Type of Change

Gynecology, Ob/Gyn Samita Sharma, MDKaiser Permanente Capitol Hill Medical Center

Name change

Internal medicine Samuel Stone Ballew, DOKaiser Permanente Capitol Hill Medical CenterAccepting new patients: Yes

Accepting new patients change

Maryland

Specialty Provider Type of Change

Family practice Sharon Y. Chung, DONorth Arundel Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Maia Moraine Patel, MDAbingdon Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Kathyann M. Walcott, MDSilver Spring Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Fadeke Ajayi, MDMarlow Heights Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Michele Lynn Eno, MDKaiser Permanente Frederick Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Dalila Harvey-Granger, MDLargo Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Thomas Charles Hogue, MDLargo Medical CenterAccepting new patients: No

Accepting new patients change

Updates to existing Kaiser Permanente providers – July 2021

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July 2021 Updates to existing Kaiser Permanente providers

104 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Gynecology, Ob/Gyn Shillena Natalie Peters, MDSouth Baltimore County Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Christine H. Sohn Woo, MDWhite Marsh Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Nika Vinson, MDSouth Baltimore County Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Vijaya Lakshmi Alla, MDCamp Springs Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Michele Rene Arthurs, MDCamp Springs Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Yonas Ateshim, MDSouth Baltimore County Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Sabine F. Balzora-Jackson, MDCamp Springs Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Sevag Bananian, MDKensington Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Justin F. Capasso, MDKaiser Permanente Baltimore Harbor Medical Center815 E. Pratt St.Baltimore, MD 212021-410-637-5700

Address/phone change

Internal medicine Florence Veronica Deza, MDColumbia Gateway Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Eva Dicocco, MDWoodlawn Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Nkechinyerem Eseonu-Ewoh, MDWoodlawn Medical CenterAccepting new patients: Yes

Accepting new patients change

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July 2021 Updates to existing Kaiser Permanente providers

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 105

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Internal medicine Zhihua Geng, MDWoodlawn Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Yeneisha Greene, MDCamp Springs Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Nicholas Hatate, DOPrince George’s Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Supriya Janakiraman, MDGaithersburg Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Robert Jason Levine, DOTowson Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Kolawole S. Oloniyo, MDLargo Medical Center

Name change

Internal medicine Joy Isomianwu Onaghise, MDLargo Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Sonal Dineshbhai Patel, MDKensington Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Karen Rochelle Rabin, MDKensington Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Barbara Ledesma Sanico, MDWhite Marsh Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Samuel A. Semegn, MDSilver Spring Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Thomas Stallard, MDPrince George’s Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Gaby Tesfaye, MDPrince George’s Medical CenterAccepting new patients: No

Accepting new patients change

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July 2021 Updates to existing Kaiser Permanente providers

106 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Internal medicine William Edwin Towne, MDLargo Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Mary Varkey, MDTowson Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Rupa Allam Varma, MDLargo Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Umme Yasmin, MDNorth Arundel Medical CenterAccepting new patients: Yes

Accepting new patients change

Otolaryngology Leslie A. Nurse, MDKensington Medical CenterTowson Medical Center

Name change

Virginia

Specialty Provider Type of Change

Family practice Zain Javed, MDWoodbridge Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Claria L. Prior, DOWoodbridge Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Jeannette Tao, MDBurke Medical CenterAccepting new patients: Yes

Accepting new patients change

Gynecology, Ob/Gyn Jennifer Mathews Biggs, MDSpringfield Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Toinette O. Chin, MDFair Oaks Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Kondeh A. Greaves, MDAshburn Medical CenterAccepting new patients: No

Accepting new patients change

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July 2021 Updates to existing Kaiser Permanente providers

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 107

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Virginia (continued)

Specialty Provider Type of Change

Gynecology, Ob/Gyn Kondeh A. Greaves, MDHaymarket Crossroads Medical Center15050 Heathcote Blvd.Haymarket, VA 201691-571-445-7200

Address/phone change

Gynecology, Ob/Gyn Eunice J. Lee, MDTysons Corner Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Tammy Zelle Rosenthal, MDReston Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Kasandra Lynne Scales, MDWoodbridge Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Simon Arn Wilson, MDFalls Church Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Pritha Mahadevan Workman, MDSpringfield Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Seung Chae, MDManassas Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Janet Marie Dougherty, MDSpringfield Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Stuart Q. Hopkins, MDWoodbridge Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Priya Mathur, MDManassas Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Brandon Mark McElroy, MDWoodbridge Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Kusuma Kalyani Nanduri, MDFair Oaks Medical CenterAccepting new patients: No

Accepting new patients change

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July 2021 Updates to existing Kaiser Permanente providers

108 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Virginia (continued)

Specialty Provider Type of Change

Internal medicine Thu Bich Nguyen, MDFair Oaks Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine William Carl Stallard, MDSpringfield Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Florence Anne Tchouaffi-Nana, MDWoodbridge Medical CenterAccepting new patients: Yes

Accepting new patients change

Page 109: 2021 Kaiser Permanente Medicare Advantage (HMO) …

June 2021 Updates to existing Kaiser Permanente providers

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 109

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.

District of Columbia

Specialty Provider Type of Change

Gastroenterology Lindsay J. Barnes, MDKaiser Permanente Capitol Hill Medical Center700 Second St. NEWashington, DC 200021-202-346-3000

Address/phone change

Internal medicine Edsel J. Gayoso, MDKaiser Permanente Capitol Hill Medical CenterAccepting new patients: Yes

Accepting new patients change

Maryland

Specialty Provider Type of Change

Family practice Alexandria A. Reilly, MDSilver Spring Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Vijaya Lakshmi Alla, MDCamp Springs Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Justin F. Capasso, MDTowson Medical Center1447 York Road, Suite 100Lutherville, MD 210931-410-339-5500

Address/phone change

Internal medicine Florence Veronica Deza, MDColumbia Gateway Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Laura Emmanuel-Allen, MDWoodlawn Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Zhihua Geng, MDWoodlawn Medical CenterAccepting new patients: Yes

Accepting new patients change

Updates to existing Kaiser Permanente providers – June 2021

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June 2021 Updates to existing Kaiser Permanente providers

110 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Internal medicine Shirley Wynleen Lee, MDWoodlawn Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Sonal Dineshbhai Patel, MDKensington Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Jennifer Prendez, MDPrince George’s Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Hanadi Shamkhani, MDPrince george’s Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Catherine Ama Twimasi, MDMarlow Heights Medical CenterAccepting new patients: No

Accepting new patients change

Ophthalmology Michael E. Korchak, MDLargo Medical Center

Name change

Virginia

Specialty Provider Type of Change

Cardiology Natalia Berry, MDTysons Corner Medical Center8008 Westpark DriveMcLean, VA 221021-703-287-6400

Address/phone change

Family practice Frances Ding, DOSpringfield Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Eric Paul Freitas, MDAlexandria Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Matthew Hahn, MDAlexandria Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Ashley A. Tennyson, MDFair Oaks Medical CenterAccepting new patients: No

Accepting new patients change

Page 111: 2021 Kaiser Permanente Medicare Advantage (HMO) …

June 2021 Updates to existing Kaiser Permanente providers

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 111

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Virginia (continued)

Specialty Provider Type of Change

Gynecology, Ob/Gyn Kondeh A. Greaves, MDAshburn Medical Center43480 Yukon Drive, Suite 100Ashburn, VA 201471-571-252-6000

Address/phone change

Gynecology, Ob/Gyn Nuru A. Robi, MDColonial Forge Medical Center125 Hospital Center Blvd., Suite 110Stafford, VA 225541-540-602-6500

Address/phone change

Internal medicine Summer Abdel-Megeed, MDTysons Corner Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Jonathan Justin Chou, MDWoodbridge Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Jasmine A. Finch, MDSpringfield Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Carole Assaad Shaddad, MDSpringfield Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Lellise Taye Shewakena, MDReston Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine William Carl Stallard, MDSpringfield Medical CenterAccepting new patients: Yes

Accepting new patients change

Ophthalmology Kim Jiramongkolchai, MDSpringfield Medical Center6501 Loisdale CourtSpringfield, VA 221501-703-922-1000

Address/phone change

Page 112: 2021 Kaiser Permanente Medicare Advantage (HMO) …

May 2021 Updates to existing Kaiser Permanente providers

112 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.

District of Columbia

Specialty Provider Type of Change

Internal medicine Edsel J. Gayoso, MDKaiser Permanente Capitol Hill Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Sos A. Mboijana, MDKaiser Permanente Capitol Hill Medical CenterAccepting new patients: No

Accepting new patients change

Maryland

Specialty Provider Type of Change

Family practice Sharon Y. Chung, DONorth Arundel Medical Center

Name change

Family practice Stephanie Lynn Davis, MDAbingdon Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Rachel Bernice Hope, MDBaltimore Harbor Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Sherell Latonya Mason, MDBaltimore Harbor Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Sara A. Mills, MDMarlow Heights Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Tamischer Baldwin Nettles, MDAbingdon Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Maia Moraine Patel, MDAbingdon Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Kathyann M. Walcott, MDSilver Spring Medical CenterAccepting new patients: No

Accepting new patients change

Updates to existing Kaiser Permanente providers – May 2021

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May 2021 Updates to existing Kaiser Permanente providers

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 113

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Gynecology, Ob/Gyn Christina Marie Boyd, MDWhite Marsh Medical CenterAccepting new patients: Yes

Accepting new patients change

Gynecology, Ob/Gyn Michele Lynn Eno, MDKaiser Permanente Frederick Medical CenterAccepting new patients: Yes

Accepting new patients change

Gynecology, Ob/Gyn Alin Ionescu, MDKensington Medical CenterAccepting new patients: Yes

Accepting new patients change

Gynecology, Ob/Gyn Shillena Natalie Peters, MDSouth Baltimore County Medical CenterAccepting new patients: Yes

Accepting new patients change

Gynecology, Ob/Gyn Diana G. Soffer, MDLargo Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Nika Vinson, MDSouth Baltimore County Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Cielito M. Aguinaldo, MDLargo Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Jennifer Lynn Ah-Kee, MDCamp Springs Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Juliana H. Aruna, MDLargo Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Yonas Ateshim, MDSouth Baltimore County Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Sabine F. Balzora-Jackson, MDCamp Springs Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Justin Francis Capasso, MDBaltimore Harbor Medical Center815 E Pratt St., Suite 300Baltimore, MD 212021-410-637-5700

Address/phone change

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May 2021 Updates to existing Kaiser Permanente providers

114 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Internal medicine Karen Tapawan Chen, MDTowson Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Dione Chua, MDTowson Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine So Yeon Chung, MDGaithersburg Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Laurie MacDonald Crain, MDKensington Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Anuradha Dahiya, MDSilver Spring Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Nancy Fleurancois, MDLargo Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Anne Halsey, DOCamp Springs Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Meena Nadia Hasan, MDGaithersburg Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Charis James, MDWhite Marsh Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Kamani N. Karandana, MDLargo Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Poonam H. Maru, DOGaithersburg Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Karen Rochelle Rabin, MDKensington Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Barbara Ledesma Sanico, MDWhite Marsh Medical CenterAccepting new patients: No

Accepting new patients change

Page 115: 2021 Kaiser Permanente Medicare Advantage (HMO) …

May 2021 Updates to existing Kaiser Permanente providers

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 115

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Internal medicine Ivy V. Savoy-Whitfield, MDLargo Medical CenterAccepting new patients: Yes

Name change and Accepting new patients change

Internal medicine Neelam B. Shah, MDKensington Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Yetunde Arinola Shitta-Bey, MDSilver Spring Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Gina L. Standard, MDColumbia Gateway Medical CenterAccepting new patients: Yes

Name change and Accepting new patients change

Internal medicine Hawani Temesgen, MDSilver Spring Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Rupa Allam Varma, MDLargo Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Miranda Efua Wellington, MDLargo Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Jeffrey Michael Wharton, MDGaithersburg Medical CenterAccepting new patients: No

Accepting new patients change

Virginia

Specialty Provider Type of Change

Family practice Rebecca Jane Davison, MDSpringfield Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Lisa Jenkins, MDFredericksburg Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Britta Lynn Mayer, MDSpringfield Medical CenterAccepting new patients: Yes

Accepting new patients change

Page 116: 2021 Kaiser Permanente Medicare Advantage (HMO) …

May 2021 Updates to existing Kaiser Permanente providers

116 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Virginia (continued)

Specialty Provider Type of Change

Family practice Cristina Natalia Policarpio, MDWoodbridge Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Claria L. Prior, DOWoodbridge Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Minh-Chau Tran, MDReston Medical CenterAccepting new patients: Yes

Accepting new patients change

Gynecology, Ob/Gyn Jennifer Mathews Biggs, MDSpringfield Medical CenterAccepting new patients: Yes

Accepting new patients change

Gynecology, Ob/Gyn Toinette O. Chin, MDFair Oaks Medical CenterAccepting new patients: Yes

Accepting new patients change

Gynecology, Ob/Gyn Kondeh A. Greaves, MDHaymarket Crossroads Medical CenterAccepting new patients: Yes

Accepting new patients change

Gynecology, Ob/Gyn Beverly J. Waddell-Jiggetts, MDWoodbridge Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Simon Arn Wilson, MDFalls Church Medical CenterAccepting new patients: Yes

Accepting new patients change

Gynecology, Ob/Gyn Pritha Mahadevan Workman, MDSpringfield Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Rhanda Anwar Abd-Elfattah, MDFalls Church Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Olakunle Olusiji Abisuga, MDWoodbridge Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Esther Kim Bahk, MDSpringfield Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Rachel A. Burchard, MDWoodbridge Medical CenterAccepting new patients: No

Accepting new patients change

Page 117: 2021 Kaiser Permanente Medicare Advantage (HMO) …

May 2021 Updates to existing Kaiser Permanente providers

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 117

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Virginia (continued)

Specialty Provider Type of Change

Internal medicine Alejandra Bustillo, MDFalls Church Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Banti D. Chand, MDAshburn Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Suma Doppalapudi, MDAshburn Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Janet Marie Dougherty, MDSpringfield Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Brandon Mark McElroy, MDWoodbridge Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Kusuma Kalyani Nanduri, MDFair Oaks Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Dieu-Thi Thi Nguyen, MDWoodbridge Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Thu Bich Nguyen, MDFair Oaks Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Darshan S. Sohal, MDReston Medical Center

Name change

Internal medicine Florence Anne Tchouaffi-Nana, MDWoodbridge Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Alan H. Wynn, MDWoodbridge Medical CenterAccepting new patients: No

Accepting new patients change

Oncology hematology Aloysius C. Pereira, MDBurke Medical CenterColonial Forge Medical CenterTysons Corner Medical Center

Name change

Page 118: 2021 Kaiser Permanente Medicare Advantage (HMO) …

April 2021 Updates to existing Kaiser Permanente providers

118 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.

District of Columbia

Specialty Provider Type of Change

Gynecology, Ob/Gyn Carolyn M. Gorman, MDKaiser Permanente Capitol Hill Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Keith Michael Egan, DOKaiser Permanente Capitol Hill Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Rebecca L. Fitch, MDNorthwest DC Medical Office BuildingAccepting new patients: Yes

Accepting new patients change

Internal medicine Edsel J. Gayoso, MDKaiser Permanente Capitol Hill Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Bahiyyih June Khelghati, MDKaiser Permanente Capitol Hill Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Lisa R. Lee, MDNorthwest DC Medical Office BuildingAccepting new patients: No

Accepting new patients change

Internal medicine Stephanie Letourneau, MDKaiser Permanente Capitol Hill Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine William Narracci, DOKaiser Permanente Capitol Hill Medical CenterAccepting new patients: No

Name change and Accepting new patients change

Internal medicine Jantina M. Van Der Linde, MDNorthwest DC Medical Office BuildingAccepting new patients: Yes

Accepting new patients change

Updates to existing Kaiser Permanente providers – April 2021

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April 2021 Updates to existing Kaiser Permanente providers

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 119

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

District of Columbia (continued)

Specialty Provider Type of Change

Internal medicine Ashlee Williams, MDKaiser Permanente Capitol Hill Medical CenterAccepting new patients: No

Accepting new patients change

Maryland

Specialty Provider Type of Change

Family practice Oluwakemi Abosede Ajide, MDWhite Marsh Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Ayanna Marie Beard, MDMarlow Heights Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Sharon Yeong Won Chung, DONorth Arundel Medical Center

Name change

Family practice Stephanie Lynn Davis, MDAbingdon Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Beatrice Digen, MDSilver Spring Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Raymond Dormevil, MDWoodlawn Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Rachel Bernice Hope, MDBaltimore Harbor Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Sara Alysse Mills, MDMarlow Heights Medical CenterAccepting new patients: Yes

Name change and Accepting new patients change

Family practice Sagal Omar Mohamud, MDSilver Spring Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Thuan-Hoa Nguyen, MDSilver Spring Medical CenterAccepting new patients: Yes

Accepting new patients change

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April 2021 Updates to existing Kaiser Permanente providers

120 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Family practice Maia Moraine Patel, MDAbingdon Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Marie Pereira, DOWhite Marsh Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Naeha Kaw Quasba, MDWoodlawn Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Allison Rague, MDBaltimore Harbor Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Swapnil Raman-Luhadiya, MDSilver Spring Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Alexandria A. Reilly, MDSilver Spring Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Sokpheary Srorn, MDKaiser Permanente Frederick Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Sandra L. Swann, MDShady Grove Medical CenterAccepting new patients: No

Accepting new patients change

General surgery Ryan Patrick Nagele, MDGaithersburg Medical Center

Name change

General surgery Ryan Patrick Nagele, MDLargo Medical Center

Name change

Gynecology, Ob/Gyn Claire Wilson Bolander, MDTowson Medical CenterAccepting new patients: Yes

Accepting new patients change

Gynecology, Ob/Gyn Michele Lynn Hollars Eno, MDKaiser Permanente Frederick Medical CenterAccepting new patients: No

Name change and Accepting new patients change

Gynecology, Ob/Gyn Hong-Hanh H. Nguyen, MDKensington Medical Center

Name change

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April 2021 Updates to existing Kaiser Permanente providers

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 121

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Gynecology, Ob/Gyn Shillena Natalie Peters, MDSouth Baltimore County Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Christine Hyun Sohn Woo, MDWhite Marsh Medical Center

Name change

Gynecology, Ob/Gyn Nika Vinson, MDSouth Baltimore County Medical CenterAccepting new patients: Yes

Accepting new patients change

Gynecology, Ob/Gyn Tarika Lanett Verne Williams, MDLargo Medical Center

Name change

Internal medicine Ethiopia Abebe, MDLargo Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Cielito M. Aguinaldo, MDLargo Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Jennifer Lynn Ah-Kee, MDCamp Springs Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Yonas Ateshim, MDSouth Baltimore County Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Idongesit I. Attang, MDLargo Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Sabine F. Balzora-Jackson, MDCamp Springs Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Sevag Bananian, MDKensington Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Darrell John Baranko, MDGaithersburg Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Elizabeth Biru, MDLargo Medical CenterAccepting new patients: Yes

Accepting new patients change

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April 2021 Updates to existing Kaiser Permanente providers

122 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Internal medicine Justin Francis Capasso, MDBaltimore Harbor Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Shanita Leake Chase, MDSouth Baltimore County Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Dione Chua, MDTowson Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Pamela Coffey, MDKensington Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Laurie MacDonald Crain, MDKensington Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Jose De Leon Carpio, MDGaithersburg Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Florence Veronica Deza, MDColumbia Gateway Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Pardeep Paul Singh Dhanoa, DOColumbia Gateway Medical Center

Name change

Internal medicine Karin M. Dodge, MDNorth Arundel Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Nkechinyerem Eseonu-Ewoh, MDWoodlawn Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Nancy Fleurancois, MDLargo Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Jasmin Hans, MDWhite Marsh Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Meena Nadia Hasan, MDGaithersburg Medical CenterAccepting new patients: Yes

Accepting new patients change

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April 2021 Updates to existing Kaiser Permanente providers

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 123

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Internal medicine Nicholas Hatate, DOPrince George’s Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Anise Yvonne Henry, DOAnnapolis Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Jean Ru-Jen Hou, MDGaithersburg Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Cindy C. Hsiao, MDCamp Springs Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Adrian Dale Hurley, MDKensington Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Saria Izzeldin, MDCamp Springs Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Glen Mirandilla Jacob, MDLargo Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Haibing T. Jiang, MDAnnapolis Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Kriti Kalra, MDKensington Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Dilasha Katwal, MDCamp Springs Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Elisabeth Gretke Maria Kramer, MDGaithersburg Medical CenterAccepting new patients: No

Name change and Accepting new patients change

Internal medicine John J. Lee, MDGaithersburg Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Shirley Wynleen Lee, MDWoodlawn Medical CenterAccepting new patients: Yes

Accepting new patients change

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April 2021 Updates to existing Kaiser Permanente providers

124 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of ChangeInternal medicine Robert Jason Levine, DO

Towson Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Alyssa Mary Mathew, DOWhite Marsh Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Idil Mohamud, MDGaithersburg Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Nkiruka Uzoamaka Obioha, MDTowson Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Nwamaka Olutola Oluwato, MDLargo Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Yasmin Panahy, MDKensington Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Mayank P. Patel, MDGaithersburg Medical Center

Name change

Internal medicine Thomas Ndifor Pefok, MDLargo Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Joanna Theodora Regis, MDLargo Medical Center

Name change

Internal medicine Birju Harshad Ringwala, DOCamp Springs Medical Center

Name change

Internal medicine Chevonne Tenille Salmon-Ray, MDPrince George’s Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Ivy V. Savoy-Whitfield, MDLargo Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Neelam B. Shah, MDKensington Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Hanadi Shamkhani, MDPrince George’s Medical CenterAccepting new patients: No

Accepting new patients change

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April 2021 Updates to existing Kaiser Permanente providers

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 125

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Internal medicine Yetunde Arinola Shitta-Bey, MDSilver Spring Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine David Alden Smith, MDKensington Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Mary Varkey, MDTowson Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Charlotte Anne Watts, MDTowson Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Sherry J. Weinstein-Mayer, MDBaltimore Harbor Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Miranda Efua Wellington, MDLargo Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Wanda J. Wicks, MDSouth Baltimore County Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Umme Yasmin, MDNorth Arundel Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Darren Joseph Young, DOGaithersburg Medical CenterAccepting new patients: No

Accepting new patients change

Ophthalmology Theresa R. Kramer, MDWoodlawn Medical Center

Name change

Ophthalmology Benjamin De Veyra Magno, MDKensington Medical Center

Name change

Ophthalmology Benjamin De Veyra Magno, MDGaithersburg Medical Center

Name change

Psychiatry Earl John Delacruz Mauricio, MDLargo Medical Center

Name change

Pulmonology Edward Len, MDLargo Medical Center

Name change

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April 2021 Updates to existing Kaiser Permanente providers

126 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Virginia

Specialty Provider Type of Change

Cardiology Constantine J. Tziros, MDTysons Corner Medical Center

Name change

Cardiology Constantine J. Tziros, MDColonial Forge Medical Center

Name change

Family practice Frances Ding, DOSpringfield Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Riley Sean Maurice Dubois, MDHaymarket Crossroads Medical Center

Name change

Family practice Liliana Gomez-Medley, MDFalls Church Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Akila Vasanthan Iyer, MDHaymarket Crossroads Medical Center

Name change

Family practice Lisa Jenkins, MDFredericksburg Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Rachel Nicole Marquez, MDColonial Forge Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Britta Lynn Mayer, MDSpringfield Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Nivedita Mohanty, MDFalls Church Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Cristina Natalia P. Policarpio, MDWoodbridge Medical CenterAccepting new patients: No

Name change and Accepting new patients change

Family practice Claria L. Prior, DOWoodbridge Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Nader Hussein Silver, MDBurke Medical CenterAccepting new patients: No

Accepting new patients change

Family practice Jeannette Tao, MDBurke Medical CenterAccepting new patients: No

Accepting new patients change

Page 127: 2021 Kaiser Permanente Medicare Advantage (HMO) …

April 2021 Updates to existing Kaiser Permanente providers

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 127

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Virginia (continued)

Specialty Provider Type of Change

Family practice Ashley A. Tennyson, MDFair Oaks Medical CenterAccepting new patients: Yes

Accepting new patients change

Family practice Minh-Chau Tran, MDReston Medical CenterAccepting new patients: No

Accepting new patients change

Gastroenterology Lakshmi Devi Nelson Lattimer, MDColonial Forge Medical CenterFalls Church Medical CenterSpringfield Medical Center

Name change

Gastroenterology Eric Richard Wollins, MDColonial Forge Medical CenterFalls Church Medical CenterSpringfield Medical Center

Name change

Gynecology, Ob/Gyn Jennifer Mathews Biggs, MDSpringfield Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Toinette O. Chin, MDFair Oaks Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Kondeh A. Greaves, MDHaymarket Crossroads Medical CenterAccepting new patients: No

Accepting new patients change

Gynecology, Ob/Gyn Carrie Christine Klett, MDFair Oaks Medical Center

Name change

Gynecology, Ob/Gyn Simon Arn Wilson, MDFalls Church Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Rhanda Anwar Abd-Elfattah, MDFalls Church Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine M. Pamela Alexander, MDTysons Corner Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Khadija I. Alvi, MDAshburn Medical CenterAccepting new patients: No

Accepting new patients change

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128 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Virginia (continued)

Specialty Provider Type of Change

Internal medicine Rachel A. Burchard, MDWoodbridge Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Banti D. Chand, MDAshburn Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Vincent Chi-Min Chen, MDSpringfield Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Molly Clare Davis, MDManassas Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Suma Doppalapudi, MDAshburn Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Marie Phuong Huynh, MDBurke Medical CenterAccepting new patients: No

Name change and Accepting new patients change

Internal medicine Suneetha Devi Jagarlamudi, MDAshburn Medical Center

Name change

Internal medicine Geoffrey Stewart Long, MDReston Medical Center

Name change

Internal medicine Manasi Pandit Long, MDBurke Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Gopi V. Masalia, MDAshburn Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Priya Mathur, MDManassas Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Hafsa Syyida Mir, MDWoodbridge Medical Center

Name change

Internal medicine Adriana Marissa Montesinos Araujo, MDSpringfield Medical CenterAccepting new patients: No

Accepting new patients change

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April 2021 Updates to existing Kaiser Permanente providers

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 129

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Virginia (continued)

Specialty Provider Type of Change

Internal medicine Hoang-An N. Nguyen, MDAshburn Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Thu Bich Nguyen, MDFair Oaks Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Juan Carlos Ortiz Perez, MDWoodbridge Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Bhavin Manubhai Patel, MDWoodbridge Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Carole Assaad Shaddad, MDSpringfield Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Lellise Taye Shewakena, MDReston Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Elena Short, MDWoodbridge Medical CenterAccepting new patients: Yes

Accepting new patients change

Internal medicine Sebastian Anthony Sicari, DOFredericksburg Medical Center

Name change

Internal medicine Julie C. Sim, MDFredericksburg Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine Jason Singh, MDManassas Medical CenterAccepting new patients: No

Accepting new patients change

Internal medicine William Carl Stallard, MDSpringfield Medical CenterAccepting new patients: No

Accepting new patients change

Orthopedic surgery Marc Anthony Kouyoumdjian, MDFair Oaks Medical Center

Name change

Plastic surgery Chun Hyoung Rhim, MDSpringfield Medical CenterTysons Corner Medical Center

Name change

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130 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Virginia (continued)

Specialty Provider Type of Change

Psychiatry Linda Ruth Ojo, MDBurke Medical Center

Name change

Rheumatology Lynda Seeta Tilluckdharry, MDColonial Forge Medical CenterSpringfield Medical Center

Name change

Urology James Ritchie Jezior, MDColonial Forge Medical CenterFair Oaks Medical CenterTysons Corner Medical Center

Name change

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November 2021 Updates to existing network specialists

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 131

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.

Maryland

Specialty Provider Type of Change

Chiropractor Kathryn M. Bennett, DCJeffrey N. Wallace, DC PC330 140 Village RoadUnit 9AWestminster, MD 211571-410-876-8881

Address/phone change

Chiropractor Mary Beth Green, DCAnnapolis Pain Management45 Old Solomons Island RoadSuite 205Annapolis, MD 214011-410-224-4348

Name change

Chiropractor Eric Scott Horne, DCHorne Chiropractic Center PA3820 Mountain RoadSuites B & CPasadena, MD 211221-410-437-2600

Name change

Chiropractor Eung K. Kim, DCKim Chiropractic Clinic, PA8860 Columbia 100 ParkwaySuite 311Columbia, MD 210451-410-715-3500

12230 Rockville PikeSuite 250Rockville, MD 208521-301-881-1000

Name change

Chiropractor Cheryl A. Lee Pow, DCPow-Her Chiropractic LLC600 Jefferson PlazaSuite 350Rockville, MD 208521-301-279-9009

Name change

Updates to existing network specialists – November 2021

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November 2021 Updates to existing network specialists

132 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Chiropractor Danielle L. Orlando Kepner, DCHealthbridge Chiropractic Associates LLC137 E. BroadwayBel Air, MD 210141-410-638-2424

Name change

Chiropractor Nicole M. Perez, DCAlan K. Sokoloff, PC331 Oak Manor DriveSuite 101Glen Burnie, MD 210611-410-766-4878

Name change

Chiropractor Jeffrey N. Wallace, DCJeffrey N. Wallace, DC PC330 140 Village RoadUnit 9AWestminster, MD 211571-410-876-8881

Address/phone change

Chiropractor Pamela J. Woodward Terranova, DCFirst Step Chiropractic LLC1501 Sulgrave Ave.Suite 302Baltimore, MD 212091-443-869-3626

Name change

General surgery Suzanne L. Topalian, MDJohns Hopkins University401 N BroadwayBaltimore, MD 212871-443-997-1508

Address/phone change

Gynecology, Ob/Gyn Amanda L. Horton, MDJohns Hopkins University601 N Caroline St.JHOC 6th FloorBaltimore, MD 212871-410-955-8240

Address/phone change

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November 2021 Updates to existing network specialists

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 133

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Gynecology, Ob/Gyn Cornelia L. Trimble, MDJohns Hopkins University601 N Caroline St., JHOC 6th FloorBaltimore, MD 212871-410-955-8240

Address/phone change

Infectious diseases Justin R. Bailey, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-410-502-2128

Address/phone change

Oncology–medical, surgical

Nilofer S. Azad, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980

Address/phone change

Oncology–medical, surgical

Ivan M. Borrello, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980

Address/phone change

Oncology–medical, surgical

William B. Dalton, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980

Address/phone change

Oncology–medical, surgical

Mario A. Eisenberger, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980

Address/phone change

Oncology–medical, surgical

David S. Ettinger, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980

Address/phone change

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134 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of ChangeOncology–medical, surgical

Arlene Forastiere, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980

Address/phone change

Oncology–medical, surgical

Patrick Forde, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980

Address/phone change

Oncology–medical, surgical

Ephraim J. Fuchs, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980

Address/phone change

Oncology–medical, surgical

Stuart Grossman, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980

Address/phone change

Oncology–medical, surgical

Elizabeth M. Jaffee, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980

Address/phone change

Oncology–medical, surgical

Evan J. Lipson, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980

Address/phone change

Oncology–medical, surgical

Leonido Luznik, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980

Address/phone change

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November 2021 Updates to existing network specialists

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 135

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Oncology–medical, surgical

Kenneth J. Pienta, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980

Address/phone change

Oncology–medical, surgical

Margaret M. Showel, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980

Address/phone change

Oncology–medical, surgical

Kala Visvanathan, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980

Address/phone change

Oncology–radiation/Radiation oncology

Sara R. Alcorn, MDJohns Hopkins University401 N BroadwayBaltimore, MD 212871-410-955-6980

Address/phone change

Oncology–radiation/Radiation oncology

Fariba Asrari, MDJohns Hopkins University401 North BroadwayWeinberg BldgBaltimore, MD 212871-410-955-6980

Address/phone change

Oncology–radiation/Radiation oncology

Russell K. Hales, MDJohns Hopkins University4940 Eastern Ave.Kimmel Cancer CenterBaltimore, MD 212241-410-550-1711

Address/phone change

Oncology–radiation/Radiation oncology

Ana P. Kiess, MDJohns Hopkins University401 N BroadwayBaltimore, MD 212871-410-955-6980

Address/phone change

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136 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Oncology–radiation/Radiation oncology

Harry Quon, MDJohns Hopkins University600 N Wolfe St.JHH Weinberg 5BBaltimore, MD 212871-410-955-8880

Address/phone change

Oncology–radiation/Radiation oncology

Jean L. Wright, MDJohns Hopkins University401 N BroadwayBaltimore, MD 212871-410-955-6980

Address/phone change

Virginia

Specialty Provider Type of Change

Chiropractor Jong Hee Cho, DCT & J Chiropractic Inc10680 Main St.Suite 275Fairfax, VA 220301-703-539-8822

Name change

Chiropractor Jesus M. Diaz, DCMomentum Chiropractic and Rehab LLC9705 Liberia Ave. Suite 351Manassas, VA 201101-703-369-2559

Name change

Chiropractor Daniel R. Freeman, DCUnited Wellness Center andSports Rehab Falls Church510 W Annandale RoadSuite 300Falls Church, VA 220461-703-660-8208

Name change

Chiropractor Cameron L. Hatam, DCVirginia Family Chiropractic & PM, PLLC8420 Dorsey Circle, Suite 101Manassas, VA 201101-703-367-7878

Address/phone change

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November 2021 Updates to existing network specialists

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 137

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Virginia (continued)

Specialty Provider Type of Change

Chiropractor Cameron Hatam, DCVirginia Family Chiropractic & PM, PLLC5130 Duke St.Suite 114Alexandria, VA 223041-703-370-5300

7121 Leesburg PikeSuite 207Falls Church, VA 220431-703-538-3830

8420 Dorsey CircleSuite 101Manassas, VA 201101-703-370-5300

14904 Jefferson Davis HighwaySuite 301Woodbridge, VA 221911-703-499-8840

Name change

Chiropractor Samer R. Masri, DCChiro Physical Medicine LLC3801 Fairfax DriveSuite 12Arlington, VA 222031-703-243-7878

Name change

Chiropractor Peter J. McGarry, DCPalmercare Chiropractic Centreville Inc14215E Centreville SquareCentreville, VA 201211-703-222-3737

Name change

Chiropractor Alexander McMinn, DCPotomac Family and Sports Chiropractic21351 Gentry DriveSuite 125Sterling, VA 201661-703-406-8686

Name change

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138 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Virginia (continued)

Specialty Provider Type of Change

Chiropractor Hirad Najaf Bagy, DCUnited Wellness Center and Sports Rehab Falls Church510 W Annandale RoadSuite 300Falls Church, VA 220461-703-660-8208

1886 Metro Center DriveSuite 100Reston, VA 201901-703-437-8195

Name change

Chiropractor Ghazaleh Tabrizi, DCVirginia Family Chiropractic & PM, PLLC8420 Dorsey CircleSuite 101Manassas, VA 201101-703-367-7878

Address/phone change

Chiropractor Jennifer L. Taschler, DCJennifer M. Lee, Ltd10301 Democracy LaneSuite 110Fairfax, VA 220301-703-293-2939

Name change

Chiropractor Mohammed Yousefi, DCAshburn Chiropractic & Rehab Center PC44121 Harry Byrd HighwaySuite 125Ashburn, VA 201471-703-723-0000

Woodbridge Chiropractic & Pain Management3945 Prince William ParkwayWoodbridge, VA 221921-703-730-9222

Name change

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ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 139

October 2021 Updates to existing network specialists

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.

District of Columbia

Specialty Provider Type of Change

Gastroenterology Firas H. Al-Kawas, MDJohns Hopkins University5255 Loughboro Road NWWashington, DC 200161-202-537-4560

Address/phone change

Pulmonology Andrew D. Lerner, MDJohns Hopkins University5215 Loughboro Road NWSuite 420Washington, DC 200161-202-660-7509

Address/phone change

Maryland

Specialty Provider Type of Change

Gynecology, Ob/Gyn Barbara K. Estes, MDCalvertHealth Medical Group LLC14090 HG Trueman RoadSuite 2600Solomons, MD 206881-410-414-9017

Address/phone change

Gynecology, Ob/Gyn Hilary W. Ginter, MDCalvertHealth Medical Group LLC14090 HG Trueman RoadSuite 2600Solomons, MD 206881-410-414-9017

Address/phone change

Gynecology, Ob/Gyn Michelle D. Johnson, MDCalvertHealth Medical Group LLC14090 HG Trueman RoadSuite 2600Solomons, MD 206881-410-414-9017

Address/phone change

Updates to existing network specialists – October 2021

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140 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

October 2021 Updates to existing network specialists

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Gynecology, Ob/Gyn Aparajita K. Mahata, MDCalvertHealth Medical Group LLC14090 HG Trueman RoadSuite 2600Solomons, MD 206881-410-414-9017

Address/phone change

Infectious diseases Chandralekha Banerjee, MDAnthony & Banerjee, MD PA5601 Loch Raven Blvd.Suite 100Baltimore, MD 212391-443-444-5835

Address/phone change

Neurosurgery Henry Brem, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-410-955-8080

Address/phone change

Orthopedic surgery Rajwinder S. Deu, MDJohns Hopkins University10700 Charter DriveSuite 205Columbia, MD 210441-443-997-6754

Address/phone change

Orthopedic surgery Amit Jain, MDJohns Hopkins University10700 Charter DriveSuite 205Columbia, MD 210441-443-997-6754

Address/phone change

Orthopedic surgery Julius K. Oni, MDJohns Hopkins University10700 Charter DriveSuite 205Columbia, MD 210441-443-997-6754

Address/phone change

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September 2021 Updates to existing network specialists

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 141

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.

District of Columbia

Specialty Provider Type of Change

Cardiology Nelson L. Bernardo, MDWashington Hospital Center Physicians Group110 Irving St. NWWashington, DC 200101-202-877-7259

Address/phone change

Maryland

Specialty Provider Type of Change

Allergy and Immunology Lawrence S. Schieken, MDComprehensive Asthma and Allergy Center10910 Little Patuxent ParkwaySuite 202Columbia, MD 210441-410-997-7575

Address/phone change

Cardiology Scott A. Berkowitz, MDJohns Hopkins University601 N Caroline St.JHOC 1st FloorBaltimore, MD 212871-443-997-0270

Address/phone change

Cardiology Michael J. Blaha, MDJohns Hopkins University601 N Caroline St.8th FloorBaltimore, MD 212871-443-997-1800

Address/phone change

Cardiology Roger S. Blumenthal, MDJohns Hopkins University601 N Caroline St.JHOC 1st FloorBaltimore, MD 212871-443-997-0270

Address/phone change

Updates to existing network specialists – September 2021

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September 2021 Updates to existing network specialists

142 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Cardiology Oscar H. Cingolani, MDJohns Hopkins University601 N Caroline St.JHOC 1st FloorBaltimore, MD 212871-443-997-0270

Address/phone change

Cardiology Jeffrey F. Cole, MDSt. Agnes Healthcare, Inc3449 Wilkens Ave.Suite 300Baltimore, MD 212291-410-368-9992

Address/phone change

Cardiology Russell E. Hillsley, MDSt. Agnes Healthcare, Inc3449 Wilkens Ave.Suite 300Baltimore, MD 212291-410-368-9992

Address/phone change

Cardiology Carlos S. Ince Jr., MDSt. Agnes Healthcare, Inc3449 Wilkens Ave.Suite 300Baltimore, MD 212291-410-368-9992

Address/phone change

Cardiology Steven R. Jones, MDJohns Hopkins University601 N Caroline St.JHOC 1st FloorBaltimore, MD 212871-443-997-0270

Address/phone change

Cardiology Aravindan Kolandaivelu, MDJohns Hopkins University4940 Eastern Ave.Pavillion 4 Cardiac TestingBaltimore, MD 212241-410-550-3384

601 N Caroline St.JHOC 1st FloorBaltimore, MD 212871-443-997-0270

Address/phone change

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September 2021 Updates to existing network specialists

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 143

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Cardiology Brian G. Kral, MDJohns Hopkins University601 N Caroline St.JHOC 1st FloorBaltimore, MD 212871-443-997-0270

Address/phone change

Cardiology Frederick E. Kuhn Jr., MDSt. Agnes Healthcare, Inc3449 Wilkens Ave., Suite 300Baltimore, MD 212291-410-368-9992

Address/phone change

Cardiology Chiadi E. Ndumele, MDJohns Hopkins University601 N Caroline St.JHOC 1st FloorBaltimore, MD 212871-443-997-0270

Address/phone change

Cardiology Raymond H. Plack, MDSt. Agnes Healthcare, Inc3449 Wilkens Ave., Suite 300Baltimore, MD 212291-410-368-9992

Address/phone change

Cardiology Stephen J. Plantholt, MDSt. Agnes Healthcare, Inc3449 Wilkens Ave.Suite 300Baltimore, MD 212291-410-368-9992

Address/phone change

Cardiology Steven P. Schulman, MDJohns Hopkins University601 N Caroline St.JHOC 1st FloorBaltimore, MD 212871-443-997-0270

Address/phone change

Cardiology Harikrishna Tandri, MDJohns Hopkins University601 N Caroline St.JHOC 1st FloorBaltimore, MD 212871-443-997-0270

Address/phone change

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September 2021 Updates to existing network specialists

144 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Cardiology Jeffrey C. Trost, MDJohns Hopkins University601 N Caroline St.JHOC 1st FloorBaltimore, MD 212871-443-997-0270

Address/phone change

Cardiology Robert G. Weiss, MDJohns Hopkins University4924 Campbell Blvd.White Marsh, MD 212361-443-442-2300

Address/phone change

Cardiology Marlene S. Williams, MDJohns Hopkins University4940 Eastern Ave.Pavillion 4 Cardiac TestingBaltimore, MD 212241-410-550-3384

Address/phone change

Cardiology Stephen B. Williams, MDJohns Hopkins University601 N Caroline St.JHOC 1st FloorBaltimore, MD 212871-443-997-0270

Address/phone change

Cardiology Katherine C. Wu, MDJohns Hopkins University601 N Caroline St.JHOC 1st FloorBaltimore, MD 212871-443-997-0270

Address/phone change

Cardiothoracic surgery Sanjiv Lakhanpal, MDCenter for Vein Restoration MD LLC1600 Crain Highway S, Suite 408Glen Burnie, MD 210611-855-830-8346

Address/phone change

Cardiothoracic surgery Sanjiv Lakhanpal, MDCVM Prince Frederick LLC301 Steeple Chase DriveSuite 401Prince Frederick, MD 206781-855-830-8346

Address/phone change

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September 2021 Updates to existing network specialists

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 145

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Cardiothoracic surgery Thomas C. Militano, MDCenter for Vein Restoration MD LLC1600 Crain Highway SSuite 408Glen Burnie, MD 210611-855-830-8346

Address/phone change

Chiropractor Patricia M. Beall, DCEffective Chiropractic683 Old Mill RoadMillersville, MD 211081-410-729-2200

Effective Integrative Healthcare LLC1625 Crofton CenterCrofton, MD 211141-410-451-4640

681 Old Mill RoadMillersville, MD 211081-410-729-2200

Name change

Family practice Eric C. Marshall, MDGerald Family Care7940 Johnson Ave.Glen Arden, MD 207061-301-364-3200

Address/phone change

Gastroenterology Gihan H. Naguib, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-410-955-5250

Address/phone change

General surgery Arun Chowla, MDCenter for Vein Restoration MD LLC1600 Crain Highway SSuite 408Glen Burnie, MD 210611-855-830-8346

Address/phone change

General surgery Shekeeb Sufian, MDCenter for Vein Restoration MD LLC1600 Crain Highway SSuite 408Glen Burnie, MD 210611-855-830-8346

Address/phone change

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September 2021 Updates to existing network specialists

146 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Gynecology, Ob/Gyn Michelle C. Nguyen, MDCenter for Vein Restoration MD LLC1600 Crain Highway SSuite 408Glen Burnie, MD 210611-855-830-8346

Address/phone change

Gynecology, Ob/Gyn Theresa M. Soto, MDCenter for Vein Restoration MD LLC1600 Crain Highway SSuite 408Glen Burnie, MD 210611-855-830-8346

Address/phone change

Gynecology, Ob/Gyn Priya S. Thirumlai, MDCenter for Vein Restoration MD LLC1600 Crain Highway SSuite 408Glen Burnie, MD 210611-855-830-8346

Address/phone change

Infectious diseases Mamuka Machaidze, MDJohns Hopkins University4940 Eastern Ave.Baltimore, MD 212241-410-550-0596

Address/phone change

Neurology Mackenzie C. Cervenka, MDJohns Hopkins University4940 Eastern Ave.Baltimore, MD 212241-410-550-0875

Address/phone change

Neurosurgery Sheng-Fu L. Lo, MDJohns Hopkins University1800 Orleans St.Baltimore, MD 212871-410-955-5000

Address/phone change

Neurosurgery Mark G. Luciano, MDJohns Hopkins University1800 Orleans St.Baltimore, MD 212871-410-955-5000

Address/phone change

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ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 147

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Ophthalmology Ashley Behrens, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-410-955-5720

Address/phone change

Ophthalmology Nicholas R. Mahoney, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-410-955-2280

Address/phone change

Ophthalmology Timothy J. McCulley, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-410-955-5720

Address/phone change

Ophthalmology Christina R. Prescott, MDJohns Hopkins University1800 Orleans St.Maumenee LobbyBaltimore, MD 212871-410-955-5650

Address/phone change

Ophthalmology Fasika A. Woreta, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-410-955-5720

Address/phone change

Ophthalmology Jithin Yohannan, MDJohns Hopkins University1800 Orleans St.Maumenee LobbyBaltimore, MD 212871-410-955-5650

Address/phone change

Physical medicine & rehabilitation

Levan Atanelov, MDJohns Hopkins University4940 Eastern Ave.BMO Bldg Level 1Baltimore, MD 212241-443-997-5476

Address/phone change

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148 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Physical medicine & rehabilitation

Pablo A. Celnik, MDJohns Hopkins University4940 Eastern Ave.BMO Bldg Level 1Baltimore, MD 212241-443-997-5476

Address/phone change

Physical medicine & rehabilitation

Tae Hwan Chung, MDJohns Hopkins University4940 Eastern Ave.BMO Bldg Level 1Baltimore, MD 212241-443-997-5476

Address/phone change

Physical medicine & rehabilitation

Dominique L. Vinh, MDJohns Hopkins University4940 Eastern Ave.BMO Bldg Level 1Baltimore, MD 212241-443-997-5476

Address/phone change

Plastic surgery Stephane Corriveau, MDCenter for Vein Restoration MD LLC1600 Crain Highway SSuite 408Glen Burnie, MD 210611-855-830-8346

Address/phone change

Pulmonology Andrew D. Lerner, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-410-614-5867

Address/phone change

Pulmonology Richard S. Squires, MDRichard S. Squires, MD LLC7610 Carroll Ave., Suite 360Takoma Park, MD 209121-202-526-4600

Address/phone change

Urology Arthur L. Burnett, MDJohns Hopkins University601 N Caroline St.JHOC 4th FloorBaltimore, MD 212871-410-955-6100

Address/phone change

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ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 149

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Urology Heather N. Di Carlo, MDJohns Hopkins University601 N Caroline St.JHOC 4th FloorBaltimore, MD 212871-410-955-6100

Address/phone change

Urology Brian R. Matlaga, MDJohns Hopkins University601 N Caroline St.JHOC 4th FloorBaltimore, MD 212871-410-955-6100

Address/phone change

Urology Jacek L. Mostwin, MDJohns Hopkins University601 N Caroline St.JHOC 4th FloorBaltimore, MD 212871-410-955-6100

Address/phone change

Urology Alan W. Partin, MDJohns Hopkins University601 N Caroline St.JHOC 4th FloorBaltimore, MD 212871-410-955-6100

Address/phone change

Urology Patrick C. Walsh, MDJohns Hopkins University601 N Caroline St.JHOC 4th FloorBaltimore, MD 212871-410-955-6100

Address/phone change

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150 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.

Maryland

Specialty Provider Type of Change

Internal medicine Anthony J. Harrell, MDJHCP at Greater Dundalk2112 Dundalk Ave.Baltimore, MD 212221-410-288-4800Accepting new patients: No

Accepting new patients change

Oncology/Hematology Kristen A. Marrone, MDJohns Hopkins University1800 Orleans St.Baltimore, MD 212871-410-955-8525

Address/phone change

Oncology/Hematology Donald Small, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-443-997-5437

Address/phone change

Rheumatology Allan C. Gelber, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-301-896-3100

Address/phone change

Updates to existing network specialists – August 2021

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July 2021 Updates to existing network specialists

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 151

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.

Maryland

Specialty Provider Type of Change

Gynecology, Ob/Gyn Shijun Huang, MDSt. Agnes Healthcare, Inc900 Caton Ave.Baltimore, MD 212291-667-234-2626

Address/phone change

Gynecology, Ob/Gyn Ishrat Rafi, MDSt. Agnes Healthcare, Inc900 Caton Ave.Baltimore, MD 212291-667-234-2626

Address/phone change

Pulmonology Abdul Rahman, MDEmergency Medicine Associates200 Memorial Ave.Westminster, MD 211571-410-848-3000

Address/phone change

Updates to existing network specialists – July 2021

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June 2021 Updates to existing network specialists

152 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.

Maryland

Specialty Provider Type of Change

Internal medicine Karen L. Bledsoe, MDFord Medical Associates PA7404 Executive PlaceSuite 501Lanham, MD 207061-301-262-0260

Address/phone change

Internal medicine Kevin M. Ford, MDFord Medical Associates PA7404 Executive PlaceSuite 501Lanham, MD 207061-301-262-0260

Address/phone change

Neurology Christa W. Habela, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-410-955-6080

601 N Caroline St.JHOC 5th FloorBaltimore, MD 212871-410-955-9441

Address/phone change

Neurology Amir Kheradmand, MDJohns Hopkins University601 N Caroline St.JHOC 5th FloorBaltimore, MD 212871-410-955-9441

Address/phone change

Neurology Michael D. Kornberg, MDJohns Hopkins University601 N Caroline St.JHOC 5th FloorBaltimore, MD 212871-410-955-9441

Address/phone change

Updates to existing network specialists – June 2021

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June 2021 Updates to existing network specialists

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 153

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Neurology Shiv Saidha, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-410-955-6080

Address/phone change

Oncology/Hematology Nicholas A. DeMonaco, MDMaryland Oncology Hematology PA8116 Good Luck RoadSuite 100Lanham, MD 207061-301-812-3900

Address/phone change

Oncology/Hematology Rita Gupta, MDMaryland Oncology Hematology PA8116 Good Luck RoadSuite 100Lanham, MD 207061-301-812-3900

Address/phone change

Oncology/Hematology Bryan C. Hambley, MDEmergency Medicine Associates200 Memorial RoadLanham, MD 207061-301-552-8118

Address/phone change

Oncology/Hematology Jose L. Mendoza, MDMaryland Oncology Hematology PA8116 Good Luck RoadSuite 100Lanham, MD 207061-301-812-3900

Address/phone change

Oncology/Hematology Jun F. Sun, MDMaryland Oncology Hematology PA8116 Good Luck RoadSuite 100Lanham, MD 207061-301-812-3900

Address/phone change

Oncology/Hematology Deepnarayan Tiwarri, MDMaryland Oncology Hematology PA8116 Good Luck RoadSuite 100Lanham, MD 207061-301-812-3900

Address/phone change

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June 2021 Updates to existing network specialists

154 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Orthopedic surgery John Tis, MDJohns Hopkins University1106 Annapolis RoadOdenton, MD 211131-410-502-9937

Name change

Orthopedic surgery John Tis, MDJohns Hopkins University601 N Caroline St.Baltimore, MD 212871-410-955-3870

4940 Eastern Ave.Baltimore, MD 212241-443-997-2663

Name change

Orthopedic surgery John Tis, MDJohns Hopkins University10710 Charter DriveColumbia, MD 210441-410-955-3870

Name change

Podiatry Peter N. Brieloff, DPMFoot and Ankle Specialists of the Mid-Atlantic2730 University Blvd. WSuite 1000Wheaton, MD 209021-301-949-6500

Address/phone change

Podiatry Emmanuella M. Eastman, DPMFoot and Ankle Specialists of the Mid-Atlantic2730 University Blvd. WSuite 1000Wheaton, MD 209021-301-949-6500

Address/phone change

Podiatry Adam K. Spector, DPMFoot and Ankle Specialists of the Mid-Atlantic2730 University Blvd. WSuite 1000Wheaton, MD 209021-301-949-6500

Address/phone change

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June 2021 Updates to existing network specialists

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 155

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Pulmonology Andrew D. Lerner, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-443-997-0286

Address/phone change

Pulmonology Abdul Rahman, MDEmergency Medicine Associates200 Memorial RoadLanham, MD 207061-301-552-8118

Address/phone change

Urology Leslie M. Abramowitz, MDChesapeake Urology Associates1838 Greene Tree Road, Suite 460Baltimore, MD 212081-410-581-1600

Address/phone change

Urology Bruce W. Berger, MDChesapeake Urology Associates1838 Greene Tree Road, Suite 460Baltimore, MD 212081-410-581-1600

Address/phone change

Urology Rian J. Dickstein, MDChesapeake Urology Associates1838 Greene Tree Road, Suite 460Baltimore, MD 212081-410-581-1600

Address/phone change

Urology Steven R. Jaskulsky, MDChesapeake Urology Associates1838 Greene Tree Road, Suite 460Baltimore, MD 212081-410-581-1600

Address/phone change

Urology Kelly C. Johnson, MDChesapeake Urology Associates1838 Greene Tree Road, Suite 460Baltimore, MD 212081-410-581-1600

Address/phone change

Urology Nicholas T. Leone, MDChesapeake Urology Associates1838 Greene Tree Road, Suite 460Baltimore, MD 212081-410-581-1600

Address/phone change

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June 2021 Updates to existing network specialists

156 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Urology Reynaldo P. Madrinan, MDChesapeake Urology Associates1838 Greene Tree Road, Suite 460Baltimore, MD 212081-410-581-1600

Address/phone change

Urology Marnie R. Robinson, MDChesapeake Urology Associates1838 Greene Tree Road, Suite 460Baltimore, MD 212081-410-581-1600

Address/phone change

Urology Andrew M. Shapiro, MDChesapeake Urology Associates1838 Greene Tree Road, Suite 460Baltimore, MD 212081-410-581-1600

Address/phone change

Urology David B. Sigman, MDChesapeake Urology Associates1838 Greene Tree Road, Suite 460Baltimore, MD 212081-410-581-1600

Address/phone change

Urology Geoffrey N. Sklar, MDChesapeake Urology Associates1838 Greene Tree Road, Suite 460Baltimore, MD 212081-410-581-1600

Address/phone change

Urology Jayant Uberoi, MDChesapeake Urology Associates1838 Greene Tree Road, Suite 460Baltimore, MD 212081-410-581-1600

Address/phone change

Urology Paul S. Van Ziji, MDChesapeake Urology Associates1838 Greene Tree Road, Suite 460Baltimore, MD 212081-410-581-1600

Address/phone change

Urology Aaron Weinberg, MDChesapeake Urology Associates1838 Greene Tree Road, Suite 460Baltimore, MD 212081-410-581-1600

Address/phone change

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May 2021 Updates to existing network specialists

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 157

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.

Maryland

Specialty Provider Type of Change

Cardiology Lili A. Barouch, MDJohns Hopkins University5450 Knoll North DriveSuite 270Columbia, MD 210451-443-997-0270

Address/phone change

Cardiology Michael H. Kelemen, MDJohns Hopkins University5450 Knoll North DriveSuite 270Columbia, MD 210451-443-997-0270

Address/phone change

Cardiovascular surgery Glenn J. Whitman, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-410-955-8964

Address/phone change

Chiropractic services Hayford O. Anane, DCSpine Wellness Center7801 Old Branch Ave.Suite 402Clinton, MD 207351-240-244-2818

Address/phone change

Family practice Mark D. Phillips, MDJHCP at White Marsh4924 Campbell Blvd.Suite 200Nottingham, MD 212361-443-442-2300

Address/phone change

General surgery Bashar Safar, MDJohns Hopkins University10775 Falls RoadPavilion I Suite 460Lutherville, MD 210931-443-997-1508

Address/phone change

Updates to existing network specialists – May 2021

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May 2021 Updates to existing network specialists

158 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Internal medicine Laurie A. Bothwell, MDJHCP at White Marsh4924 Campbell Blvd.Suite 200Nottingham, MD 212361-443-442-2300

Address/phone change

Internal medicine Naomi P. Cutler, MDJHCP at White Marsh4924 Campbell Blvd.Suite 200Nottingham, MD 212361-443-442-2300

Address/phone change

Internal medicine Joyce A. Dietrich, MDJHCP at White Marsh4924 Campbell Blvd.Suite 200Nottingham, MD 212361-443-442-2300

Address/phone change

Internal medicine Gregory B. Kelly, MDJHCP at White Marsh4924 Campbell Blvd.Suite 200Nottingham, MD 212361-443-442-2300

Address/phone change

Internal medicine Elizabeth Loeb, MDClinical Associates Baltimore1838 Greene Tree RoadSuite 225BPikesville, MD 212081-443-471-3270Accepting new patients: No

Accepting new patients change

Internal medicine Brent B. MacDonald, MDJHCP at White Marsh4924 Campbell Blvd.Suite 200Nottingham, MD 212361-443-442-2300

Address/phone change

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May 2021 Updates to existing network specialists

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 159

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Internal medicine David Madder, DOJHCP at White Marsh4924 Campbell Blvd.Suite 200Nottingham, MD 212361-443-442-2300

Address/phone change

Internal medicine Swati D. Phatak, MDJHCP at White Marsh4924 Campbell Blvd.Suite 200Nottingham, MD 212361-443-442-2300

Address/phone change

Internal medicine Raymond H. Zollinger, MDJHCP at White Marsh4924 Campbell Blvd.Suite 200Nottingham, MD 212361-443-442-2300

Address/phone change

Neurology Charlene E. Gamaldo, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-410-955-5570

Address/phone change

Oncology/Hematology Thomas J. Smith, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-410-955-8915

Address/phone change

Ophthalmology Deborah A. Reid, MDRetina Associates, PC16900 Science DriveSuite 110Bowie, MD 207151-301-262-4351

Address/phone change

Ophthalmology Cuong D. Vu, MDRetina Associates, PC16900 Science DriveSuite 110Bowie, MD 207151-301-262-4351

Address/phone change

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May 2021 Updates to existing network specialists

160 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Ophthalmology David R. Watt, MDRetina Associates, PC16900 Science DriveSuite 110Bowie, MD 207151-301-262-4351

Address/phone change

Ophthalmology Adam S. Wenick, MDJohns Hopkins University600 N Wolfe St.Baltimore, MD 212871-410-955-5255

Address/phone change

Orthopedic surgery James R. Ficke, MDJohns Hopkins University4940 Eastern Ave.Baltimore, MD 212241-410-550-0596

Address/phone change

Otolaryngology James C. Denneny III, MDJohns Hopkins University6420 Rockledge DriveSuite 4920Bethesda, MD 208171-443-997-6467

Address/phone change

Radiation therapy Amar N. Rewari, MDAssociates in Radiation Medicine20330 Seneca Meadows ParkwayGermantown, MD 208761-301-795-0064

9905 Medical Center DriveSuite 100Rockville, MD 208501-301-309-6765

Name change

Urology Mohamad E. Allaf, MDJohns Hopkins University401 N Broadway St.Weinberg Bldg.Baltimore, MD 212871-410-955-6980

Address/phone change

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May 2021 Updates to existing network specialists

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 161

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Urology Trinity J. Bivalacqua, MDJohns Hopkins University401 N Broadway St.Weinberg Bldg.Baltimore, MD 212871-410-955-6980

Address/phone change

Urology Misop Han, MDJohns Hopkins University401 N Broadway St.Weinberg Bldg.Baltimore, MD 212871-410-955-6980

Address/phone change

Urology Phillip M. Pierorazio, MDJohns Hopkins University4940 Eastern Ave.301 Building Suite 3200Baltimore, MD 212241-443-997-0400

Address/phone change

Urology Edward J. Wright III, MDJohns Hopkins University4940 Eastern Ave.Baltimore, MD 212241-410-550-0449

Address/phone change

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April 2021 Updates to existing network specialists

162 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

The following list includes provider updates since the October publication of the 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory.

District of Columbia

Specialty Provider Type of Change

Oncology hematology Daya S. Sharma, MDGreater Washington Oncology Associates106 Irving St. NWSuite 418 SouthWashington, DC 200101-202-726-0941

Address/phone change

Maryland

Specialty Provider Type of Change

Internal medicine Sridevi Bellamkonda, MDJHCP at Germantown20500 Seneca Meadows PkwySuite 2400Germantown, MD 208761-240-912-2738Accepting new patients: Yes

Accepting new patients change

Internal medicine Barry I. Bercovitz, MDJHCP at Odenton1106 Annapolis RoadSuite 300Odenton, MD 211131-410-874-1400Accepting new patients: No

Accepting new patients change

Internal medicine Melissa E. Blakeman, MDJHCP at North Bethesda6000 Executive Blvd.Suite 625N Bethesda, MD 208521-240-314-7080Accepting new patients: Yes

Accepting new patients change

Updates to existing network specialists – April 2021

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April 2021 Updates to existing network specialists

ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 163

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed his accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Internal medicine Ritha Chea, MDJHCP at Glen Burnie7671 Quarterfield RoadSuite 401Glen Burnie, MD 210611-443-270-6760Accepting new patients: No

Accepting new patients change

Internal medicine Mark H. Davino, MDJHCP at Odenton1106 Annapolis RoadSuite 300Odenton, MD 211131-410-874-1400Accepting new patients: No

Accepting new patients change

Internal medicine Danny E. Lee, MDJHCP at Odenton1132 Annapolis RoadSuite 300Odenton, MD 211131-410-874-1400Accepting new patients: No

Accepting new patients change

Internal medicine Elizabeth Loeb, MDClinical Associates1838 Greene Tree RoadSuite 135Pikesville, MD 212081-443-471-0469Accepting new patients: No

Accepting new patients change

Internal medicine Hsin Yi A. Tang, MDJHCP at Glen Burnie7671 Quarterfield RoadSuite 401Glen Burnie, MD 210611-443-270-6760Accepting new patients: Yes

Accepting new patients change

Nephrology Rohan R. Rengen, MDFrederick Kidney Care Associates LLC140 Thomas Johnson DriveFrederick, MD 217021-800-424-6589

Address/phone change

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April 2021 Updates to existing network specialists

164 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

Name change – Provider’s name changed.Address/phone change – Changes include updated group name, address, and or phone number.

Accepting new patients change – Provider has changed their accepting patients status.Specialty change – New specialty type listed.

Maryland (continued)

Specialty Provider Type of Change

Oncology hematology Ram S. Trehan, MDGreater Washington Oncology Associates50 W Edmonston DriveSuite 600Rockville, MD 208521-301-593-9035

Address/phone change

Ophthalmology Cuong D. Vu, MDRetina Associates, PC7130 Minstrel WaySuite 120Columbia, MD 210451-410-997-4443

Address/phone change

Virginia

Specialty Provider Type of Change

Family practice Byong Kuk Kang, MDSanta Cruz Medical, Byong Kang8703 Stonewall RoadSuite 2BManassas, VA 201101-703-361-1955Accepting new patients: No

Accepting new patients change

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ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 165

November 2021 Facility – Terminations

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

Durable medical equipment providers

Maryland

Howard County

Cranial Technologies Inc5450 Knoll North DriveSuite 340Columbia, MD 21045Main number: 1-844-447-5894

Montgomery County

Cranial Technologies Inc10750 Columbia PikeSuite 100Silver Spring, MD 20901Main number: 1-844-447-5894

Virginia

Fairfax County

Cranial Technologies Inc3299 Woodburn RoadSuite 320Annandale, VA 22003Main number: 1-844-447-5894

Loudoun County

Cranial Technologies Inc14 Pidgeon Hill DriveSuite 410Sterling, VA 20165Main number: 1-844-447-5894

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166 ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory

September 2021 Facility – Terminations

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

Skilled nursing facilities

Maryland

Anne Arundel County

Spa Creek Center35 Milkshake LaneAnnapolis, MD 21403Main number: 1-410-269-5100

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ADDENDUM — 2021 Kaiser Permanente Medicare Advantage (HMO) Provider Directory 167

July 2021 Facility – Terminations

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

Skilled nursing facilities

District of Columbia

Transitions Health Care Capitol City LLC2425 25th St. SEWashington, DC 20020Main number: 1-202-889-3600

Surgical services (Outpatient or ASC)

Maryland

Howard County

Howard County Gastrointestinal Diagnostic Center10710 Charter DriveSuite 120Columbia, MD 21044Main number: 1-410-772-7345

Montgomery County

Surgery Center of Chevy Chase5530 Wisconsin Ave.Suite 1530Chevy Chase, MD 20815Main number: 1-301-718-9800