Ellie Sepehri, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD046612 Issued in DC

Practice address

3020 14TH St NW
Washington, DC 20009-6865

Phone

(202) 469-4699

NPI assigned

Mar 19, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Elnaz Sepehri Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: esepehri3439207@direct.trinity-health.org

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.

• Kentlands Pediatrics, LLC

  • Pediatrics Physician
  • Gaithersburg, MD
  • NPI 1912564626
  NPD (past) Authorized official

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1013259845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 KENT SQUARE RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785650",
            "telephone_number": "240-888-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 14TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200096865",
            "telephone_number": "202-469-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPEHRI",
        "first_name": "ELLIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "MD046612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELNAZ",
            "last_name": "SEPEHRI",
            "prefix": "DR.",
            "credential": "MD, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patricia W Seo-Mayer, MD
• Suna Seo, M.D.
• Yejin Seo
• Jinhwa Seong, FNP-BC
• Edward Sepe, MD
• Leigh Sepeta
• Septima Clark Public Charter School
• Jocelyn Sepulveda
• Jorge Lemos Sepulveda, MD, PHD
• Eva Sequeira

• Pediatrics Physician in Washington, DC
• Providers in Washington, DC by specialty
• Pediatrics Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.