Active NPI
Anita Mikkilineni, M.D.
- Obstetrics & Gynecology Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD210002669
- Practice address
- 2150 Pennsylvania Ave NW FL 5
Washington, DC 20037-3201 - Phone
- (202) 741-2500
- Fax
- (202) 741-2550
- NPI assigned
- Apr 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 306397 | NY | |
| Obstetrics & Gynecology Physician | 207V00000X | MD210002669 | DC | Primary |
Addresses
Primary practice location
2150 Pennsylvania Ave NW FL 5
Washington, DC 20037-3201
Mailing address
19 Bradhurst Ave Ste 3100N
Hawthorne, NY 10532-2140
Phone (914) 909-9018
Other practice location 1
19 Bradhurst Ave Ste 2750S
Hawthorne, NY 10532-2140
Phone (914) 493-2250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Drexel University College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Phone (202) 741-2600
Hospital & facility affiliations
- George Washington Univ Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD210002669 | DC | MD | Obstetrics & Gynecology Physician |
| 306397 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Medical Faculty Associates, Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Westchester Medical Center Advanced Physician Services, PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Westchester Medical Center | Past | Accepting new patients | |
| District Hospital Partners L P | Past | Accepting new patients |
Locations
2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750
2150 Pennsylvania Ave NW
Fl 5
Washington, DC 20037
Phone (202) 741-2500
19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373
19 Bradhurst Ave
Ste 2750S
Hawthorne, NY 10532
Phone (914) 493-2250
19 Bradhurst Ave
Ste 3750S
Hawthorne, NY 10532
Phone (914) 313-3937
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
Interoperability endpoints
- amikkilineni37901@gwmfa.direct-ci.com
- https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
Obstetrics & Gynecology
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
Obstetrics & Gynecology
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
- General Acute Care Hospital
- Washington, DC
- NPI 1487640207
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1023286184
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, DC
- NPI 1487640207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1083068258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 BRADHURST AVE STE 3100N",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105322140",
"telephone_number": "914-909-9018",
"fax_number": "914-909-9028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 PENNSYLVANIA AVE NW FL 5",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200373201",
"telephone_number": "202-741-2500",
"fax_number": "202-741-2550"
}
],
"practiceLocations": [
{
"address_1": "19 Bradhurst Ave Ste 2750S",
"address_purpose": "LOCATION",
"city": "Hawthorne",
"state": "NY",
"postal_code": "105322140",
"country_code": "US",
"telephone_number": "914-493-2250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIKKILINENI",
"first_name": "ANITA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-14",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "306397",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "DC",
"license": "MD210002669",
"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 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.