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1525 14th St Nw Washington DC 20005-3706 | |
| (202) 745-7000 | |
| (202) 797-3504 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 1525 14th St Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Felicia Davis (CREDENTIALING) |
| Authorized Official Contact | 2027974428 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1377 R St Nw Washington DC 20009-6293 Ph: (202) 745-7000 | 1525 14th St Nw Washington DC 20005-3706 Ph: (202) 745-7000 |
| NPI Number | 1184616617 |
|---|---|
| Provider Enumeration Date | 08/19/2005 |
| Last Update Date | 03/19/2024 |
| Medicare PECOS PAC ID | 6507755196 |
|---|---|
| Medicare Enrollment ID | O20040311001525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184616617 | NPI | - | NPPES |
| 034298100 | Medicaid | DC | |
| 038798600 | Medicaid | DC | |
| 038947600 | Medicaid | DC | |
| 022385400 | Medicaid | DC |
| Provider Name | David M Facenda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356473466 PECOS PAC ID: 1951290543 Enrollment ID: I20040311001532 |
| Provider Name | Sarah L. Henn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194743609 PECOS PAC ID: 8123016995 Enrollment ID: I20040524000532 |
| Provider Name | Raymond C Martins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730234030 PECOS PAC ID: 8022175504 Enrollment ID: I20090522000234 |
| Provider Name | Brooks Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982804043 PECOS PAC ID: 0143314641 Enrollment ID: I20090603000199 |
| Provider Name | Joseph Casazza |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275641334 PECOS PAC ID: 6901958354 Enrollment ID: I20090715000410 |
| Provider Name | Teresa L Jones |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1114035177 PECOS PAC ID: 6204988678 Enrollment ID: I20090715000614 |
| Provider Name | Deborah Goldstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457502460 PECOS PAC ID: 0547309700 Enrollment ID: I20091201000109 |
| Provider Name | Stephen E Abbott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437280450 PECOS PAC ID: 6709978281 Enrollment ID: I20100927000620 |
| Provider Name | Yavar Moghimi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982879185 PECOS PAC ID: 8325216294 Enrollment ID: I20110720000094 |
| Provider Name | Ravi Ajmera |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205877131 PECOS PAC ID: 1456313949 Enrollment ID: I20110725000630 |
| Provider Name | Megan L Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639299308 PECOS PAC ID: 2062684244 Enrollment ID: I20111012000324 |
| Provider Name | Megan E Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043595036 PECOS PAC ID: 8325214109 Enrollment ID: I20111228000411 |
| Provider Name | Randall Ehrbar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043248644 PECOS PAC ID: 1658301585 Enrollment ID: I20120830000147 |
| Provider Name | Shuo He |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427311463 PECOS PAC ID: 9830484575 Enrollment ID: I20160819002029 |
| Provider Name | Namrata Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275848764 PECOS PAC ID: 8123316346 Enrollment ID: I20161004000996 |
| Provider Name | Barry P Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750330288 PECOS PAC ID: 1254629355 Enrollment ID: I20161005000819 |
| Provider Name | Eduardo R Leon Guerrero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407817778 PECOS PAC ID: 6901881184 Enrollment ID: I20161013000139 |
| Provider Name | William Hardy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760410518 PECOS PAC ID: 2062439706 Enrollment ID: I20161103000055 |
| Provider Name | Elizabeth Lamme |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104375179 PECOS PAC ID: 5890076020 Enrollment ID: I20170103000209 |
| Provider Name | David A Fessler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457472607 PECOS PAC ID: 5395817050 Enrollment ID: I20170110002187 |
| Provider Name | Sacha Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649611922 PECOS PAC ID: 5698097533 Enrollment ID: I20170125000979 |
| Provider Name | Rachel I Paneth-pollak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356780886 PECOS PAC ID: 0143597682 Enrollment ID: I20170605000568 |
| Provider Name | Robert Kearney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184092702 PECOS PAC ID: 8426328824 Enrollment ID: I20170718001373 |
| Provider Name | Camille Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174067896 PECOS PAC ID: 1658616446 Enrollment ID: I20181226000753 |
| Provider Name | Paul Robert Elsasser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083075956 PECOS PAC ID: 0840530473 Enrollment ID: I20190319001065 |
| Provider Name | Jennifer Lynn Loken |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508236597 PECOS PAC ID: 2769755768 Enrollment ID: I20190320001529 |
| Provider Name | Emily Marie Gerlach |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437651940 PECOS PAC ID: 7618217092 Enrollment ID: I20190321001206 |
| Provider Name | Matthew R Salmon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447670443 PECOS PAC ID: 7618218256 Enrollment ID: I20190409002455 |
| Provider Name | Nicole Armstead |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871965699 PECOS PAC ID: 4183958416 Enrollment ID: I20190620001298 |
| Provider Name | Matthew Valante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962065896 PECOS PAC ID: 6204160716 Enrollment ID: I20190702002748 |
| Provider Name | Jennifer Leigh Bindeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538442033 PECOS PAC ID: 5890020945 Enrollment ID: I20190711000477 |
| Provider Name | Michelle Julie Bruin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518472588 PECOS PAC ID: 7315273703 Enrollment ID: I20190723002092 |
| Provider Name | Bennie Taylor |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1154777019 PECOS PAC ID: 4486941101 Enrollment ID: I20200114000687 |
| Provider Name | Kimberly Lynn Herrmann |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1033537089 PECOS PAC ID: 7618274580 Enrollment ID: I20200115001510 |
| Provider Name | Sarah King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174136345 PECOS PAC ID: 2062822901 Enrollment ID: I20201105000366 |
| Provider Name | Carrington Lee Koebele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578902805 PECOS PAC ID: 7911120423 Enrollment ID: I20210106002424 |
| Provider Name | Amanda Meaghan Cary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023505328 PECOS PAC ID: 2567879273 Enrollment ID: I20210325000181 |
| Provider Name | Kyle Robert Benda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720572571 PECOS PAC ID: 3375893464 Enrollment ID: I20210921000084 |
| Provider Name | Talia Robledo-gil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548758154 PECOS PAC ID: 0143579987 Enrollment ID: I20210928001818 |
| Provider Name | Brittany Elizabeth Walsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700351079 PECOS PAC ID: 1355749813 Enrollment ID: I20211013002811 |
| Provider Name | Joseph Michael Wrenn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225610652 PECOS PAC ID: 2567850639 Enrollment ID: I20211021001901 |
| Provider Name | Timothy B Claus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720529266 PECOS PAC ID: 9032507652 Enrollment ID: I20211101000079 |
| Provider Name | Rupa Rajesh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740347673 PECOS PAC ID: 1456588110 Enrollment ID: I20220615001171 |
| Provider Name | Emily A Marion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649730847 PECOS PAC ID: 6608244975 Enrollment ID: I20221116003141 |
| Provider Name | Lashana Pace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346923661 PECOS PAC ID: 9133576184 Enrollment ID: I20231113001824 |
| Provider Name | Suzanne Noel Borkowski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508386731 PECOS PAC ID: 8224486097 Enrollment ID: I20231205000924 |
| Provider Name | Margaretta Gergen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164984423 PECOS PAC ID: 6901133347 Enrollment ID: I20231212004182 |
| Provider Name | Ayushi Bansal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396416095 PECOS PAC ID: 7214372242 Enrollment ID: I20240229003375 |
| Provider Name | Adam Johns Holt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487207411 PECOS PAC ID: 6204272388 Enrollment ID: I20240312000439 |
| Provider Name | Mary Katherine Boleware |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700461365 PECOS PAC ID: 1052750643 Enrollment ID: I20240416000821 |
| Provider Name | Milan Noel Flanagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689211302 PECOS PAC ID: 5991145559 Enrollment ID: I20240430000474 |
| Provider Name | Zachary Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770093080 PECOS PAC ID: 6709226228 Enrollment ID: I20240501002803 |
| Provider Name | Tanuja Devaraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578913240 PECOS PAC ID: 9830429554 Enrollment ID: I20240503002605 |
| Provider Name | Joseph Darrell Cribb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831975671 PECOS PAC ID: 6608217690 Enrollment ID: I20240508001080 |
| Provider Name | Agustin Aguirre Herrera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376212985 PECOS PAC ID: 0648713743 Enrollment ID: I20240618000374 |
| Provider Name | Adam Crawford Chavis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053981175 PECOS PAC ID: 4284177759 Enrollment ID: I20240625002483 |
| Provider Name | Diego Pigatti Macedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720823800 PECOS PAC ID: 8628518081 Enrollment ID: I20240911004491 |
| Provider Name | Pele Solell-knepler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942067475 PECOS PAC ID: 7719427186 Enrollment ID: I20240912000056 |
| Provider Name | Terrance Weeden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407388648 PECOS PAC ID: 8628323128 Enrollment ID: I20240913002145 |
| Provider Name | Florence Bristy Rozario |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518634187 PECOS PAC ID: 5294267308 Enrollment ID: I20241015000062 |
| Provider Name | James Grayson Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770740730 PECOS PAC ID: 6103358080 Enrollment ID: I20241016003335 |
| Provider Name | Wayne Pearson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811531965 PECOS PAC ID: 4587104179 Enrollment ID: I20241017001972 |
| Provider Name | Colin Taylor Demeritt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538986120 PECOS PAC ID: 9234665951 Enrollment ID: I20241205000025 |
| Provider Name | Jamila Kani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952048076 PECOS PAC ID: 5890221949 Enrollment ID: I20241212000742 |
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 | |
Privia Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4910 Massachusetts Ave Nw Ste 114, Washington, DC 20016 Phone: 202-686-0813 Fax: 202-222-0429 |