MEDICARE: ISMAIL M. KALOKOH MD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0008X	Neuromuscular Medicine (Psychiatry & Neurology) Physician	C184616	CA
2	207R00000X	Internal Medicine Physician	21581	DC
3	207R00000X	Internal Medicine Physician	D47927	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00089149	OTHER	DC	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	OK79IM82053502	OTHER	MD	CARE FIRST
2	889545	OTHER	DC	ALLIANCE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	6156	OTHER	DC	BLUE CROSS BLUE SHIELD
6	16957	OTHER	DC	DC CHARTERED HEALTH PLAN
7	1935972	OTHER	DC	UNITED HEALTH CARE
8	67675	OTHER	DC	AMERIGROUP
9	16957	OTHER	DC	DC HEALTH ALLIANCE
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	2256688	OTHER	DC	AETNA

General Provider Information

NPI Number	:	1912959073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISMAIL M. KALOKOH MD MD

Provider Business Mailing Address
First Line	:	PO BOX 3703
Second Line	:
City	:	CAPITOL HEIGHTS
State	:	MD
Zip	:	20791-3703
Country	:	US
Telephone Number	:	202-397-2200
Fax Number	:	202-397-2688

Provider Business Practice Location Address
First Line	:	1647 BENNING RD NE
Second Line	:	SUITE 304
City	:	WASHINGTON
State	:	DC
Zip	:	20002-4569
Country	:	US
Telephone Number	:	202-397-2200
Fax Number	:	202-397-2688

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	03/22/2026

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Directions to “ ISMAIL M. KALOKOH MD MD” Practice Location

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