Organization Active NPI

Capitol Ketamine and Wellness

  • Emergency Medicine Physician
  • Washington, DC
National Provider Identifier
1043073588
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
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

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Dr. Beletshachew Girma, MDNPI 1306896857
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)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.