| Mgmc, Llc | |
|
3800 Reservoir Rd Nw Washington DC 20007-2113 | |
| (888) 896-1400 | |
| Not Available |
| Full Name | Mgmc, Llc |
|---|---|
| Speciality | General Practice |
| Location | 3800 Reservoir Rd Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Stephanie Schneider (VP) |
| Authorized Official Contact | 7035581403 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mgmc, Llc Po Box 418283 Boston MA 02241-8283 Ph: () - | Mgmc, Llc 3800 Reservoir Rd Nw Washington DC 20007-2113 Ph: (888) 896-1400 |
| NPI Number | 1891797148 |
|---|---|
| Provider Enumeration Date | 06/01/2005 |
| Last Update Date | 03/28/2024 |
| Medicare PECOS PAC ID | 9537073119 |
|---|---|
| Medicare Enrollment ID | O20031118000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891797148 | NPI | - | NPPES |
| W678 | Other | DC | BLUESHIELD ADULT PCP GRP# |
| 220004006 | Medicaid | MD | |
| 6555 | Other | DC | BLUE SHIELD GROUP NUMBER |
| W676 | Other | DC | BLUE SHIELD PEDS PCP GRP# |
| 027332900 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Richard Offei Addo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639139413 PECOS PAC ID: 9032193065 Enrollment ID: I20040616000845 |
| Provider Name | Robert Bryan Mason |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1639195795 PECOS PAC ID: 7517944648 Enrollment ID: I20040706001292 |
| Provider Name | Allen Mandir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396744934 PECOS PAC ID: 0244200822 Enrollment ID: I20040802000322 |
| Provider Name | Robert Minahan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841288255 PECOS PAC ID: 6608846282 Enrollment ID: I20040802000356 |
| Provider Name | Mehrdad Akhlaghi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124019062 PECOS PAC ID: 9436045168 Enrollment ID: I20041014000968 |
| Provider Name | Matthew Cooper |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740204965 PECOS PAC ID: 9335177484 Enrollment ID: I20050729000618 |
| Provider Name | Patrick Jean Philippe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467417527 PECOS PAC ID: 8022026483 Enrollment ID: I20060327000232 |
| Provider Name | James J Vitek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841291457 PECOS PAC ID: 5294743191 Enrollment ID: I20060404000644 |
| Provider Name | Ryan M Jander |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1932136926 PECOS PAC ID: 1153327085 Enrollment ID: I20070815000500 |
| Provider Name | Jean M Voyadzis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1104961010 PECOS PAC ID: 6406952480 Enrollment ID: I20080325000091 |
| Provider Name | Faheem Sandhu |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760487128 PECOS PAC ID: 5496702730 Enrollment ID: I20080325000098 |
| Provider Name | Ilevba Osarenkhoe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992978910 PECOS PAC ID: 0345315115 Enrollment ID: I20080814000065 |
| Provider Name | Lorraine R Diana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144208711 PECOS PAC ID: 2062580442 Enrollment ID: I20081013000354 |
| Provider Name | Yahia M Tagouri |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942383336 PECOS PAC ID: 0446282420 Enrollment ID: I20090928000307 |
| Provider Name | Terrence X Dwyer |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1962499103 PECOS PAC ID: 6406909118 Enrollment ID: I20091204000593 |
| Provider Name | Jean Y Laurore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053578856 PECOS PAC ID: 5991870495 Enrollment ID: I20091218000024 |
| Provider Name | Kevin Mc Mahon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093717217 PECOS PAC ID: 8527965482 Enrollment ID: I20091231000239 |
| Provider Name | Bruce Knolmayer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124020383 PECOS PAC ID: 2860399805 Enrollment ID: I20100112000716 |
| Provider Name | Zarina D Hussain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245291400 PECOS PAC ID: 6800921206 Enrollment ID: I20100323000856 |
| Provider Name | Charles Tuegel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578523130 PECOS PAC ID: 2961486147 Enrollment ID: I20100423000409 |
| Provider Name | Dennis A Carlini |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942231451 PECOS PAC ID: 4183611817 Enrollment ID: I20100603000558 |
| Provider Name | Jefferey Sabloff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801823703 PECOS PAC ID: 1557358280 Enrollment ID: I20100622000855 |
| Provider Name | Edward Charles Rabbitt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053342592 PECOS PAC ID: 0547257271 Enrollment ID: I20100701000073 |
| Provider Name | Ramesh Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083894604 PECOS PAC ID: 2365574837 Enrollment ID: I20100719000672 |
| Provider Name | Alan Schreiber |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518998095 PECOS PAC ID: 5991792624 Enrollment ID: I20100804000641 |
| Provider Name | John Byrne |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013948488 PECOS PAC ID: 6608863337 Enrollment ID: I20100805000637 |
| Provider Name | Vestinia M Bridges |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609808773 PECOS PAC ID: 4688861107 Enrollment ID: I20101209001153 |
| Provider Name | Aswani Suthrave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013942341 PECOS PAC ID: 9638176506 Enrollment ID: I20110223001080 |
| Provider Name | Truc Thi Thu Pham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194988212 PECOS PAC ID: 6305029034 Enrollment ID: I20110317000817 |
| Provider Name | Douglas Sobel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033119888 PECOS PAC ID: 5294911145 Enrollment ID: I20110610000513 |
| Provider Name | Norio Azumi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437157542 PECOS PAC ID: 5890823645 Enrollment ID: I20120126000053 |
| Provider Name | Basit Javaid |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063508851 PECOS PAC ID: 8022016369 Enrollment ID: I20120716000429 |
| Provider Name | Betsy M Eapen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497913651 PECOS PAC ID: 0345396453 Enrollment ID: I20130325000469 |
| Provider Name | Laura E Cowen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457514333 PECOS PAC ID: 9133371289 Enrollment ID: I20130426000514 |
| Provider Name | Debi Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972811065 PECOS PAC ID: 5193968147 Enrollment ID: I20130823000792 |
| Provider Name | Alexander Gilbert |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1457346454 PECOS PAC ID: 7911809272 Enrollment ID: I20131122000793 |
| Provider Name | Evgenia Gourgari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295046530 PECOS PAC ID: 4688809940 Enrollment ID: I20131123000076 |
| Provider Name | Amjad Anaizi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1396996385 PECOS PAC ID: 3375796626 Enrollment ID: I20131220000797 |
| Provider Name | Beje Thomas |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225214471 PECOS PAC ID: 1254418528 Enrollment ID: I20140222000463 |
| Provider Name | Temitayo O Chidi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295992063 PECOS PAC ID: 8325211410 Enrollment ID: I20140409000083 |
| Provider Name | Ronald B Reisler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598712689 PECOS PAC ID: 9032342845 Enrollment ID: I20140501001622 |
| Provider Name | Manie Juneja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609868975 PECOS PAC ID: 8921085093 Enrollment ID: I20140620000914 |
| Provider Name | Anissa A Nabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972594737 PECOS PAC ID: 5496790792 Enrollment ID: I20140806000047 |
| Provider Name | Emmanuel A O Atiemo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609030675 PECOS PAC ID: 3375764921 Enrollment ID: I20141023000724 |
| Provider Name | Syed K Hussaini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235406828 PECOS PAC ID: 6204078538 Enrollment ID: I20141125001499 |
| Provider Name | David Nelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063400331 PECOS PAC ID: 0244417301 Enrollment ID: I20141222000276 |
| Provider Name | Pavankumar Jasthi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356639702 PECOS PAC ID: 1456570308 Enrollment ID: I20141223000160 |
| Provider Name | Josette J Zeilah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841589793 PECOS PAC ID: 3870718802 Enrollment ID: I20150105001858 |
| Provider Name | Eyob Amdemichael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588979884 PECOS PAC ID: 6608004957 Enrollment ID: I20150127001025 |
| Provider Name | Douglas J Mayson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821226622 PECOS PAC ID: 4082842497 Enrollment ID: I20150203000433 |
| Provider Name | Marie Ngom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477505873 PECOS PAC ID: 0446272546 Enrollment ID: I20150323001499 |
| Provider Name | Thomas Wilson Faust |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861564304 PECOS PAC ID: 0941210033 Enrollment ID: I20150429001299 |
| Provider Name | Micheas Zemedkun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740507789 PECOS PAC ID: 5991017220 Enrollment ID: I20150630000402 |
| Provider Name | Hilda Kokwihukya Kabali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295093193 PECOS PAC ID: 1153635818 Enrollment ID: I20150810000185 |
| Provider Name | Rommaan S Ahmad |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1558439133 PECOS PAC ID: 4183721327 Enrollment ID: I20151221000931 |
| Provider Name | Rohit S Satoskar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962447607 PECOS PAC ID: 5193722551 Enrollment ID: I20160108002276 |
| Provider Name | Meena Anant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982669115 PECOS PAC ID: 7517992555 Enrollment ID: I20160202000069 |
| Provider Name | Josephine M Vergara |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174524953 PECOS PAC ID: 4082887427 Enrollment ID: I20160229001824 |
| Provider Name | Amol Rangnekar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649392788 PECOS PAC ID: 7810063948 Enrollment ID: I20160301001210 |
| Provider Name | Patricia Wehner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427215359 PECOS PAC ID: 9335378744 Enrollment ID: I20160426001736 |
| Provider Name | Sarojini S Qasba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326233362 PECOS PAC ID: 6507097227 Enrollment ID: I20160426002126 |
| Provider Name | Alexander T Lalos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316943947 PECOS PAC ID: 2860686771 Enrollment ID: I20160526000234 |
| Provider Name | Nioke P Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255537288 PECOS PAC ID: 9739273046 Enrollment ID: I20160620002284 |
| Provider Name | Helen Sile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932154630 PECOS PAC ID: 6608823828 Enrollment ID: I20160815002057 |
| Provider Name | Jose Guillermo Merino-juarez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699844092 PECOS PAC ID: 3971689175 Enrollment ID: I20160818001495 |
| Provider Name | Gurpreet Phull |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033550033 PECOS PAC ID: 8224323795 Enrollment ID: I20160823001953 |
| Provider Name | Arul Thomas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104085448 PECOS PAC ID: 4082835988 Enrollment ID: I20160830001998 |
| Provider Name | Ripple Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053743823 PECOS PAC ID: 2668609579 Enrollment ID: I20160929001056 |
| Provider Name | Chandni Pankaj Kalaria |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265728489 PECOS PAC ID: 6608165386 Enrollment ID: I20161007001159 |
| Provider Name | Steven Mark Spitz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1720213895 PECOS PAC ID: 3971802745 Enrollment ID: I20161024000719 |
| Provider Name | Natasha Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528384534 PECOS PAC ID: 5395981195 Enrollment ID: I20161025001177 |
| Provider Name | Giselle Burnett-headley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033475934 PECOS PAC ID: 3870737281 Enrollment ID: I20161109000158 |
| Provider Name | Barbara Switzer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437592607 PECOS PAC ID: 5698059913 Enrollment ID: I20170306002450 |
| Provider Name | Filipa Ligeiro |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275822876 PECOS PAC ID: 5193014165 Enrollment ID: I20171020000772 |
| Provider Name | Chitra Jaipaul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730115429 PECOS PAC ID: 4486663606 Enrollment ID: I20171030000598 |
| Provider Name | Catherine Ingard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093133472 PECOS PAC ID: 2769748524 Enrollment ID: I20171110000494 |
| Provider Name | Gayle Marie Vranic |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255476974 PECOS PAC ID: 9931352028 Enrollment ID: I20180130000068 |
| Provider Name | Marion Koso-thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467674937 PECOS PAC ID: 1850556770 Enrollment ID: I20180227001585 |
| Provider Name | Christine Cho-shing Hsu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619127255 PECOS PAC ID: 0941422778 Enrollment ID: I20180307000243 |
| Provider Name | Lori Oross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861903502 PECOS PAC ID: 5395095095 Enrollment ID: I20180829004668 |
| Provider Name | Ruhail Kohli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124374418 PECOS PAC ID: 1456655042 Enrollment ID: I20180907000920 |
| Provider Name | Shanti Nandiwada |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457747263 PECOS PAC ID: 0042560351 Enrollment ID: I20180907000946 |
| Provider Name | Rashmi T Samdani |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457794497 PECOS PAC ID: 0941527469 Enrollment ID: I20181029000972 |
| Provider Name | Shawnte R. James |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700046661 PECOS PAC ID: 9436322336 Enrollment ID: I20181120002049 |
| Provider Name | Wei Xu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912240326 PECOS PAC ID: 3678838059 Enrollment ID: I20190312000188 |
| Provider Name | James Starr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942567060 PECOS PAC ID: 0547529323 Enrollment ID: I20190314001788 |
| Provider Name | Bharadwaj Nivarthi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902312358 PECOS PAC ID: 1658604202 Enrollment ID: I20190613000443 |
| Provider Name | Megan Griffiths |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629311360 PECOS PAC ID: 1456671775 Enrollment ID: I20190805000426 |
| Provider Name | Mary Jane Mcmahon Reen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669867784 PECOS PAC ID: 3173850377 Enrollment ID: I20190812000814 |
| Provider Name | Michael Parsons |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114362621 PECOS PAC ID: 1850620691 Enrollment ID: I20190904002014 |
| Provider Name | Simran Kalra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588891873 PECOS PAC ID: 2567753072 Enrollment ID: I20191002002484 |
| Provider Name | Fnu Megha Babu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063768166 PECOS PAC ID: 4789968421 Enrollment ID: I20191211001681 |
| Provider Name | Obiaghanwa S Ugbana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730177866 PECOS PAC ID: 4587780820 Enrollment ID: I20191226001378 |
| Provider Name | William C Lennen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396709879 PECOS PAC ID: 1658358353 Enrollment ID: I20200205001531 |
| Provider Name | Javon Miguel Edgecombe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255622015 PECOS PAC ID: 2961635115 Enrollment ID: I20200212000207 |
| Provider Name | Naveen Minumula |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427336619 PECOS PAC ID: 1052538980 Enrollment ID: I20200226000705 |
| Provider Name | John Anthony Kuri |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275737280 PECOS PAC ID: 7719057447 Enrollment ID: I20200227001560 |
| Provider Name | Ahamefula Onyike |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144251331 PECOS PAC ID: 4183659543 Enrollment ID: I20200520000549 |
| Provider Name | Luis A Eguiguren-leon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538361894 PECOS PAC ID: 7517388903 Enrollment ID: I20200611001246 |
| Provider Name | Sunday Uchella |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063464113 PECOS PAC ID: 4385634757 Enrollment ID: I20200715003143 |
| Provider Name | Sofia Teferi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306824560 PECOS PAC ID: 2769589787 Enrollment ID: I20201015001123 |
| Provider Name | Myo Sabai Aye |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770979130 PECOS PAC ID: 4688955818 Enrollment ID: I20201117000060 |
| Provider Name | Julie Marcus Haffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790390144 PECOS PAC ID: 0042621468 Enrollment ID: I20201202001117 |
| Provider Name | Samir Sur |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225398779 PECOS PAC ID: 2264852433 Enrollment ID: I20210416001964 |
| Provider Name | Daniel Felbaum |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013216472 PECOS PAC ID: 3375816200 Enrollment ID: I20210426001846 |
| Provider Name | Shawnese Clark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649766429 PECOS PAC ID: 9739433541 Enrollment ID: I20210820000971 |
| Provider Name | Kathleen M Nilles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396903928 PECOS PAC ID: 9638340953 Enrollment ID: I20210831000240 |
| Provider Name | Brian M Nguyen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790132413 PECOS PAC ID: 4486050879 Enrollment ID: I20210910000051 |
| Provider Name | Coleman Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972563864 PECOS PAC ID: 4385632629 Enrollment ID: I20211007001797 |
| Provider Name | Zarine Broca |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255826467 PECOS PAC ID: 9830587633 Enrollment ID: I20211028000015 |
| Provider Name | Jason Solomon Hawksworth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376745471 PECOS PAC ID: 6709019045 Enrollment ID: I20211028001828 |
| Provider Name | Dawn Torres |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063443968 PECOS PAC ID: 5294972279 Enrollment ID: I20220110000132 |
| Provider Name | Rizwan Tahir |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1891135471 PECOS PAC ID: 8426275033 Enrollment ID: I20220704000292 |
| Provider Name | Erinda Stefi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013394956 PECOS PAC ID: 7618286352 Enrollment ID: I20220823003770 |
| Provider Name | Roshanak Derakhshandeh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215468780 PECOS PAC ID: 3274915061 Enrollment ID: I20221017000633 |
| Provider Name | Kathleen Burger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790750149 PECOS PAC ID: 6608843289 Enrollment ID: I20221027000801 |
| Provider Name | Aruni Gunaratne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790247708 PECOS PAC ID: 3476920489 Enrollment ID: I20221104000022 |
| Provider Name | Zaneta Forson-dare |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982050829 PECOS PAC ID: 8729372313 Enrollment ID: I20230209002419 |
| Provider Name | John Lynes |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225456403 PECOS PAC ID: 5193104933 Enrollment ID: I20230218000070 |
| Provider Name | Jessica Brooke Hawken |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1851823769 PECOS PAC ID: 7810351764 Enrollment ID: I20230912001896 |
| Provider Name | Emily Cha |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215215678 PECOS PAC ID: 1557501152 Enrollment ID: I20230914003837 |
| Provider Name | Charalampos Mystakelis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144858879 PECOS PAC ID: 5698118206 Enrollment ID: I20240212001198 |
Mary's Center For Maternal And Child Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 Taylor St Nw, Washington, DC 20011 Phone: 202-464-9200 | |
I Bar Wellness Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1263 Evarts St Ne, Washington, DC 20018 Phone: 202-957-3590 | |
Okafor Medical Associates Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7603 Georgia Avenue, Nw, Suite 100, Washington, DC 20012 Phone: 202-723-0498 Fax: 202-723-0268 | |
Dupont Circle Physicians Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1737 20th St Nw, Washington, DC 20009 Phone: 202-745-0201 Fax: 202-332-2794 | |
H L Yoon, Mdpc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2345 Martin Luther King Jr., Ave, S.e., Washington, DC 20020 Phone: 202-678-4940 Fax: 202-678-9703 | |
Charles Joel Bier, M.d., Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1715 N St Nw, Washington, DC 20036 Phone: 202-466-4646 Fax: 202-466-4776 | |
Unity Health Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1355 New York Ave Ne, Washington, DC 20002 Phone: 202-255-3469 |