Individual provider Active NPI

Eliane Abou-Jaoude

  • Allergy & Immunology Physician
  • Washington, DC
National Provider Identifier
1053730655
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD047818 Issued in DC
Practice address
2600 Virginia Ave NW Ste 508
Washington, DC 20037-1946
Phone
(202) 342-1984
NPI assigned
Apr 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 0101268137 VA
Allergy & Immunology Physician 207K00000X MD047818 DC Primary

Addresses

Primary practice location

2600 Virginia Ave NW Ste 508
Washington, DC 20037-1946

Mailing address

1017 E Saratoga Rd
Williamsville, NY 14221-6407

Other practice location 1

9520 Burke Rd
Burke, VA 22015-3132
Phone (703) 425-8616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD047818DCMDAllergy & Immunology Physician
0101268137VAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Watergate and Burke Allergy & Asthma Centers, PLLC Allergy & Immunology CurrentSince Jun 6, 2021 Accepting new patients
I Care Inc Past Accepting new patients

Locations

2600 Virginia Ave NW
Ste 508
Washington, DC 20037
Phone (202) 342-1984

1749 Old Meadow Rd
Ste 308
Mc Lean, VA 22102

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1053730655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 E SARATOGA RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 VIRGINIA AVE NW STE 508",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371946",
            "telephone_number": "202-342-1984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9520 Burke Rd",
            "address_purpose": "LOCATION",
            "city": "Burke",
            "state": "VA",
            "postal_code": "220153132",
            "country_code": "US",
            "telephone_number": "703-425-8616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABOU-JAOUDE",
        "first_name": "ELIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "VA",
            "license": "0101268137",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "DC",
            "license": "MD047818",
            "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 Jan 23, 2020; 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.