NPIMap

Individual provider Active NPI

Victor E Herry

  • Internal Medicine Physician
  • Clinton, MD
National Provider Identifier
1073642625
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0020986 Issued in MD
Practice address
9001 Woodyard Rd Ste C
Clinton, MD 20735-4264
Phone
(301) 868-7333
Fax
(301) 868-9023
NPI assigned
Mar 2, 2007
Last updated
May 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD12438 DC
Internal Medicine Physician 207R00000X D0020986 MD Primary

Addresses

Primary practice location

9001 Woodyard Rd Ste C
Clinton, MD 20735-4264

Mailing address

9001 Woodyard Rd Ste C
Clinton, MD 20735-4264
Phone (301) 868-7333

Other identifiers 1

IdentifierTypeStateIssuer
183731100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110314000863 DC Practitioner - Internal MedicinePractitioner - Allergy/Immunology 6709068679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Allergy/Immunology
Education
Howard University College of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Preventive Care Network Services PCGroup PAC ID 6709867351, 2 clinicians

Practice addresses (Care Compare)

1328 Southern Ave SE
Suite 302
Washington, DC 20032-4689
Phone (202) 574-4666

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as group
Quality
92.49
Improvement activities
40
Cost
86.38

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Management Associates Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Preventive Care Network Internal Medicine Past Accepting new patients

Interoperability endpoints

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

Organizations & group practices 4

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 5

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1073642625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 WOODYARD RD STE C",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354264",
            "telephone_number": "301-868-7333",
            "fax_number": "301-868-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 WOODYARD RD STE C",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354264",
            "telephone_number": "301-868-7333",
            "fax_number": "301-868-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRY",
        "first_name": "VICTOR",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD12438",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0020986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183731100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.