Active NPI
AIDS Healthcare Foundation
- Clinic/Center
- Washington, DC
National Provider Identifier
1033517024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- AIDS HEALTHCARE FOUNDATION
- Practice address
- 1647 Benning Rd NE
Washington, DC 20002-4569 - Phone
- (323) 498-6665
- Fax
- (888) 235-6638
- NPI assigned
- Dec 8, 2014
- Last updated
- Sep 12, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna Stidham
- Title
- Chief of Managed Care
- Phone
- (323) 436-5025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary |
Addresses
Primary practice location
1647 Benning Rd NE
Washington, DC 20002-4569
Mailing address
6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091012000057 | DC | Part B Supplier - Clinic/Group Practice | 2668369109 |
Receives reassigned benefits from 9 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Falls Church, VA; Temple Hills, MD; Washington, DC |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Ahf
- Health Service Clinic/Center
- Washington, DC
- NPI 1689806556
O20091012000057
-
dba Ahf
- Infectious Disease Physician
- Washington, DC
- NPI 1962028431
O20091012000057
-
dba Ahf
- Infectious Disease Physician
- Baltimore, MD
- NPI 1417573981
O20091012000057
-
dba Ahf
- Infectious Disease Physician
- Falls Church, VA
- NPI 1801568274
O20091012000057
National Provider Directory
National Provider DirectoryLocations
1647 Benning Rd NE
Washington, DC 20002
Phone (202) 375-1532
Interoperability endpoints
- https://api.ahffhir.com/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568246400000",
"number": "1033517024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6255 W SUNSET BLVD FL 21",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900287422",
"telephone_number": "323-860-5200",
"fax_number": "833-241-7615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1647 BENNING RD NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200024569",
"telephone_number": "323-498-6665",
"fax_number": "888-235-6638"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIDS HEALTHCARE FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-08",
"last_updated": "2019-09-12",
"status": "A",
"authorized_official_last_name": "STIDHAM",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "CHIEF OF MANAGED CARE",
"authorized_official_telephone_number": "323-436-5025"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.