Individual provider Active NPI

Marcy J Oppenheimer, M.D.

  • Family Medicine Physician
  • Washington, DC
National Provider Identifier
1023243581
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD040280 Issued in DC
Practice address
1150 Varnum St NE
St. Catherine's Hall/1St FL/RM 102
Washington, DC 20017-2104
Phone
(202) 854-4812
Fax
(202) 854-7825
NPI assigned
May 27, 2009
Last updated
Dec 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD040280 DC Primary
Family Medicine Physician 207Q00000X D0075220 MD

Addresses

Primary practice location

1150 Varnum St NE
St. Catherine's Hall/1St FL/RM 102
Washington, DC 20017-2104

Mailing address

1140 Varnum St NE
PMD BLDG/Suite 103
Washington, DC 20017-2151
Phone (202) 854-4090

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
I20120918000096 DC Practitioner - Family Practice 6305094327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Georgetown University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health Services IncGroup PAC ID 4385541622, 17 clinicians
Unity Health Care Inc.Group PAC ID 3476647264, shared by 23 NPIs, 151 clinicians

Practice addresses (Care Compare)

1150 Varnum St NE
Washington, DC 20017-2104
Phone (202) 854-4069

1310 Southern Ave SE
Washington, DC 20032-4623
Phone (202) 574-7222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD040280DCMDFamily Medicine Physician
D0075220MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health Services, Inc CurrentSince Sep 1, 2012 Accepting new patients
Providence Health Services Inc Family Medicine CurrentSince Sep 1, 2012 Accepting new patients

Locations

1140 Varnum St NE
Ste 103
Washington, DC 20017
Phone (202) 723-8768

1150 Varnum St NE
Washington, DC 20017
Phone (202) 269-7000

1160 Varnum St NE
Rm 102
Washington, DC 20017

1160 Varnum St NE
Ste 110
Washington, DC 20017
Phone (202) 854-4080

128 M St NW
Washington, DC 20001
Phone (202) 854-3840

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIIFBA/Endpoint/DIIFBA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1023243581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 VARNUM ST NE",
            "address_2": "PMD BLDG/SUITE 103",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172151",
            "telephone_number": "202-854-4090",
            "fax_number": "202-854-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 VARNUM ST NE",
            "address_2": "ST. CATHERINE'S HALL/1ST FL/RM 102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172104",
            "telephone_number": "202-854-4812",
            "fax_number": "202-854-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPENHEIMER",
        "first_name": "MARCY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD040280",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0075220",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.