Individual provider Active NPI

Lekeisha Terrell, MD

  • Pediatric Adolescent Medicine Physician
  • Washington, DC
National Provider Identifier
1013176924
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
MD039670 Issued in DC
Practice address
3401 4TH St SE Ste 114
Ballou Student Health Center, Unity Health Care
Washington, DC 20032-5406
Phone
(202) 645-3843
Fax
(202) 645-3675
NPI assigned
Jun 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X MD039670 DC Primary

Addresses

Primary practice location

3401 4TH St SE Ste 114
Ballou Student Health Center, Unity Health Care
Washington, DC 20032-5406

Mailing address

3401 4TH St SE Ste 114
Ballou Student Health Center, Unity Health Center
Washington, DC 20032-5406
Phone (202) 645-3843

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
I20111012000493 DC Practitioner - Pediatric Medicine 3072706506 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD039670DCMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Care, Inc. CurrentSince Aug 19, 2011 Accepting new patients
Unity Health Care Inc. CurrentSince Aug 19, 2011 Accepting new patients

Locations

3401 4th St SE
Ste 114
Washington, DC 20032
Phone (202) 645-3843

765 Kenilworth Ter NE
Washington, DC 20019
Phone (202) 388-8160

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

Interoperability endpoints

  • Direct secure messaging: lekeisha.terrell@uhci.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1013176924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 4TH ST SE STE 114",
            "address_2": "BALLOU STUDENT HEALTH CENTER, UNITY HEALTH CENTER",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200325406",
            "telephone_number": "202-645-3843",
            "fax_number": "202-645-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 4TH ST SE STE 114",
            "address_2": "BALLOU STUDENT HEALTH CENTER, UNITY HEALTH CARE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200325406",
            "telephone_number": "202-645-3843",
            "fax_number": "202-645-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "LEKEISHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "DC",
            "license": "MD039670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.