Active NPI
Metropolitan Wellness Specialists, LLC
- Cardiovascular Disease Physician
- Washington, DC
National Provider Identifier
1083998074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD33157
- Legal business name
- METROPOLITAN WELLNESS SPECIALISTS, LLC
- Practice address
- 1120 19TH St NW
Suite 316
Washington, DC 20036-3605 - Phone
- (202) 499-6999
- NPI assigned
- Oct 8, 2011
- 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
- Roquell Wyche
- Title
- Solo Proprietor
- Phone
- (202) 812-4933
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Internal Medicine) Physician | 207RB0002X | MD33157 | DC | |
| Cardiovascular Disease Physician | 207RC0000X | MD33157 | DC | Primary |
Addresses
Primary practice location
1120 19TH St NW
Suite 316
Washington, DC 20036-3605
Mailing address
1015 I St NE
Washington, DC 20002-3747
Phone (202) 499-6999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040147900 | Medicaid | DC |
National Provider Directory
National Provider DirectoryLocations
1120 19th St NW
Ste 316
Washington, DC 20036
Phone (202) 466-3570
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Ocala, FL
- NPI 1538714753
-
- Infectious Disease Physician
- Metairie, LA
- NPI 1477702082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320883200000",
"number": "1083998074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 I ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200023747",
"telephone_number": "202-499-6999",
"fax_number": "202-331-7013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 19TH ST NW",
"address_2": "SUITE 316",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200363605",
"telephone_number": "202-499-6999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METROPOLITAN WELLNESS SPECIALISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-08",
"last_updated": "2011-11-10",
"status": "A",
"authorized_official_last_name": "WYCHE",
"authorized_official_first_name": "ROQUELL",
"authorized_official_title_or_position": "SOLO PROPRIETOR",
"authorized_official_telephone_number": "202-812-4933"
},
"taxonomies": [
{
"code": "207RB0002X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Obesity Medicine",
"state": "DC",
"license": "MD33157",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "DC",
"license": "MD33157",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "040147900",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
- Metropolitan Rehabilitation Medicine PC
- Metropolitan Speech Pathology Group
- Metropolitan Therapeutic Services, Inc.
- Metropolitan Vascular Access
- Metropolitan Washington Airports Authority
- Metropolitian Podiatry Assoc PLLC
- Deanna Metropoulos, PSY.D.
- Metrospine PC
- Kelvin Walter Metts
- Natasha Metts, LGSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.