Individual provider Active NPI

Jerrold Thomas O'Rourke Jr., M.D.

  • Psychiatry Physician
  • Washington, DC
National Provider Identifier
1003812892
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
17238 Issued in DC
Practice address
1330 New Hampshire Ave NW
Ste 113
Washington, DC 20036-6300
Phone
(202) 463-6634
Fax
(202) 463-6638
NPI assigned
Jun 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 17238 DC Primary

Addresses

Primary practice location

1330 New Hampshire Ave NW
Ste 113
Washington, DC 20036-6300

Mailing address

1330 New Hampshire Ave NW
Ste 113
Washington, DC 20036-6300
Phone (202) 463-6634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120402000504 DC Practitioner - Psychiatry 1254591027 Practice locations: Washington, DC

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical University of South Carolina College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1330 New Hampshire Ave NW
Washington, DC 20036-6300
Phone (202) 463-6634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17238DCMDPsychiatry Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1003812892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 NEW HAMPSHIRE AVE NW",
            "address_2": "STE 113",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200366300",
            "telephone_number": "202-463-6634",
            "fax_number": "202-463-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 NEW HAMPSHIRE AVE NW",
            "address_2": "STE 113",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200366300",
            "telephone_number": "202-463-6634",
            "fax_number": "202-463-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "JERROLD",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "17238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.