Providence Health Services Inc
A Medicare group practice based in Washington, DC: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 4385541622), with 18 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4385541622
- Provider type
- MDPP Supplier - in-Person MDPP Supplier, Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Diagnostic Testing Facility (Idtf)
- Enrolled in
- DC
- Enrollments
- 4
- Group size
- 17 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 7
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20031216000187 | DC | Part B Supplier - Clinic/Group Practice | 1669453809 |
| O20191220001503 | DC | MDPP Supplier - in-Person MDPP Supplier | 1669453809 |
| O20211122001025 | DC | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 1598313595 |
| O20210914000912 | DC | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 1285208009 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Providence Health Services Inc
- Family Medicine Physician
- Washington, DC
- NPI 1669453809
-
Providence Health Services, Inc
- Physiological Laboratory
- Washington, DC
- NPI 1285208009
-
Providence Health Services, Inc
- Physiological Laboratory
- Washington, DC
- NPI 1598313595
-
Providence Health Services, Inc
- Anesthesiology Physician
- Washington, DC
- NPI 1740795293
Practice locations
- Washington, DC7
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 75 of 100
Clinicians 18
Clinicians who reassign their Medicare benefits to this group (18) or whom Care Compare lists as members (17).
-
Theresa Claire Brady Novak, FNP-BC
- Family Nurse Practitioner
- Washington, DC
- NPI 1194982249
-
Melissa Teresa Fagonde, MD
- Family Medicine Physician
- Washington, DC
- NPI 1164715926
-
Victoria Fedorova, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Washington, DC
- NPI 1306100185
-
Asim Haracic, MD
- Psychiatry Physician
- Washington, DC
- NPI 1821025834
-
Jacquelyn Michelle Horton, LICSW
- Clinical Social Worker
- Washington, DC
- NPI 1295080240
-
Ajirioghene Igbide, M.D
- Psychiatry Physician
- Washington, DC
- NPI 1659610871
-
Rafic Jarrah, MD
- Internal Medicine Physician
- Washington, DC
- NPI 1073523759
-
Mir Javid, MD
- Internal Medicine Physician
- Washington, DC
- NPI 1992004030
-
David Rosher King, M.D.
- Hospitalist Physician
- Washington, DC
- NPI 1992746127
-
Ines Sofia Natividad Carpio, MD
- Internal Medicine Physician
- Washington, DC
- NPI 1548557747
-
Josephine Nwoko, GNP-BC
- Gerontology Nurse Practitioner
- Millersville, MD
- NPI 1073860466
-
Daniel Omire-Mayor, D.O., M.S., M.B.A.
- Family Medicine Physician
- Washington, DC
- NPI 1831504505
-
Marcy J Oppenheimer, M.D.
- Family Medicine Physician
- Washington, DC
- NPI 1023243581
-
Constance Afua Oppong, NP
- Family Nurse Practitioner
- Washington, DC
- NPI 1518743251
-
Shiban L Raina, MD
- Internal Medicine Physician
- Washington, DC
- NPI 1861422669
-
Shadi Soufi, M.D.
- Internal Medicine Physician
- Washington, DC
- NPI 1326250705
-
Cecillia Tsao, MD
- Endocrinology, Diabetes & Metabolism Physician
- Washington, DC
- NPI 1821101767
-
Fatmata K Ware
- Family Nurse Practitioner
- Washington, DC
- NPI 1285121954
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.