| Medstar Total Elder Care LLC | |
|
106 Irving St Nw Ste 204 Washington DC 20010-2993 | |
| (202) 877-0570 | |
| Not Available |
| Full Name | Medstar Total Elder Care LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 106 Irving St Nw Ste 204, Washington, District Of Columbia |
| Authorized Official Name and Position | Stephanie Schneider (VP) |
| Authorized Official Contact | 7025581403 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medstar Total Elder Care LLC 3007 Tilden St Nw Ste 5n Washington DC 20008-3030 Ph: (703) 558-1423 | Medstar Total Elder Care LLC 106 Irving St Nw Ste 204 Washington DC 20010-2993 Ph: (202) 877-0570 |
| NPI Number | 1750752911 |
|---|---|
| Provider Enumeration Date | 10/14/2015 |
| Last Update Date | 01/28/2026 |
| Certification Date | 01/28/2026 |
| Medicare PECOS PAC ID | 4981901550 |
|---|---|
| Medicare Enrollment ID | O20160324002084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750752911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | () | Primary |
| 251B00000X | Case Management | () | Secondary |
| Provider Name | George Hennawi |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1336140524 PECOS PAC ID: 9830291145 Enrollment ID: I20070216000291 |
| Provider Name | Diana M NG |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982769931 PECOS PAC ID: 3577658970 Enrollment ID: I20071001000126 |
| Provider Name | Renee Marie Bernier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518085034 PECOS PAC ID: 2163569310 Enrollment ID: I20091021000460 |
| Provider Name | Samuel Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851352942 PECOS PAC ID: 6103904594 Enrollment ID: I20100927000367 |
| Provider Name | Pamela a Mahoney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447354600 PECOS PAC ID: 2163548199 Enrollment ID: I20100928000721 |
| Provider Name | Dorothy L Were |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316256068 PECOS PAC ID: 7719162825 Enrollment ID: I20110504000349 |
| Provider Name | Carrie L Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922075894 PECOS PAC ID: 1951588854 Enrollment ID: I20110601000690 |
| Provider Name | Justin P Martello |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255622676 PECOS PAC ID: 5991003139 Enrollment ID: I20160421000171 |
| Provider Name | Adama R Panda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437503943 PECOS PAC ID: 1557650850 Enrollment ID: I20160510000395 |
| Provider Name | Mattan Schuchman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609141795 PECOS PAC ID: 3173837135 Enrollment ID: I20160805000830 |
| Provider Name | Arita Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285087379 PECOS PAC ID: 1557640463 Enrollment ID: I20161117000726 |
| Provider Name | Kate N Ojeyinka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932655156 PECOS PAC ID: 7618250606 Enrollment ID: I20170220002842 |
| Provider Name | Elizabeth Flanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447791058 PECOS PAC ID: 9931473618 Enrollment ID: I20170919002061 |
| Provider Name | Stephen O Courtin |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1649512690 PECOS PAC ID: 0941446710 Enrollment ID: I20171004003182 |
| Provider Name | Syed Hammad Shabbir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669868485 PECOS PAC ID: 8022340751 Enrollment ID: I20200511002379 |
| Provider Name | Gregory Auber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518251917 PECOS PAC ID: 7113105552 Enrollment ID: I20210510000871 |
| Provider Name | Gary Volkell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679937338 PECOS PAC ID: 3577893635 Enrollment ID: I20210803000971 |
| Provider Name | Sharareh Badri |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1003278250 PECOS PAC ID: 3173913233 Enrollment ID: I20211203000072 |
| Provider Name | Rita Muriithi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831892652 PECOS PAC ID: 0547620346 Enrollment ID: I20230712000506 |
| Provider Name | Toluwalase Oluwakemi Tofade |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669968798 PECOS PAC ID: 9234583063 Enrollment ID: I20230928000692 |
| Provider Name | Yasir Al-khalili |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730528159 PECOS PAC ID: 7214360486 Enrollment ID: I20240917004488 |
| Provider Name | Lauryn Currens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780144360 PECOS PAC ID: 2062748213 Enrollment ID: I20250704000033 |
| Provider Name | Nadine Dubowitz |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1073705208 PECOS PAC ID: 2163580598 Enrollment ID: I20251130000106 |
| Provider Name | Michelle Koduah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033692819 PECOS PAC ID: 1254675465 Enrollment ID: I20260512001590 |
| Provider Name | Marta Zampino |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1992455505 PECOS PAC ID: 2365825601 Enrollment ID: I20260616004763 |
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