Active NPI
Capitol Ketamine and Wellness
- Emergency Medicine Physician
- Washington, DC
National Provider Identifier
1043073588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- CAPITOL KETAMINE AND WELLNESS
- Practice address
- 3301 New Mexico Ave NW Ste 228
Washington, DC 20016-3610 - Phone
- (202) 481-0947
- NPI assigned
- Feb 6, 2024
- 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
- Dr. Beletshachew Girma, MD
- Title
- Co-Owner
- Phone
- (267) 259-1182
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
3301 New Mexico Ave NW Ste 228
Washington, DC 20016-3610
Mailing address
3301 New Mexico Ave NW Ste 228
Washington, DC 20016-3610
Phone (202) 481-0947
Other names 1
- Washington Ketamine and wellness
National Provider Directory
National Provider DirectoryLocations
3301 New Mexico Ave NW
Ste 228
Washington, DC 20016
Phone (202) 966-4811
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1306896857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707177600000",
"number": "1043073588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 NEW MEXICO AVE NW STE 228",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200163610",
"telephone_number": "202-481-0947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 NEW MEXICO AVE NW STE 228",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200163610",
"telephone_number": "202-481-0947"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPITOL KETAMINE AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-06",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A",
"authorized_official_last_name": "GIRMA",
"authorized_official_first_name": "BELETSHACHEW",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "267-259-1182",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Washington Ketamine and wellness",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Washington, DC
- Capitol Hill SNF Operations LLC
- Capitol Hill Supportive Services Program Inc.
- Capitol Hill Supportive Services Programs
- Capitol Hill Therapy LLC
- Capitol Hill Wellness PLLC
- Capitol Kids Therapy
- Capitol Medical Center LLC
- Capitol Medical Center LLC
- Capitol Medical Center LLC
- Capitol Medical Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.