Organization Active NPI

D.C. Medicine and Allergy, PLLC

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1093021586
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD16498 Issued in DC
Legal business name
D.C. MEDICINE AND ALLERGY, PLLC
Practice address
1140 19TH St NW
Suite 500
Washington, DC 20036-6601
Phone
(202) 728-9630
Fax
(202) 296-0528
NPI assigned
Aug 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Authorized official

Name
Dr. Robert Stewart Enelow, M.D.NPI 1336151349
Title
President
Phone
(202) 728-9630

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MD16498 DC Primary

Addresses

Primary practice location

1140 19TH St NW
Suite 500
Washington, DC 20036-6601

Mailing address

1140 19TH St NW
Suite 500
Washington, DC 20036-6601
Phone (202) 728-9630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110124000852 DC Part B Supplier - Clinic/Group Practice 6709065741 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Locations

1140 19th St NW
Ste 805
Washington, DC 20036
Phone (202) 728-9630

Practitioners & affiliated clinicians

Practitioners 3

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": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1093021586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 19TH ST NW",
            "address_2": "SUITE 500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200366601",
            "telephone_number": "202-728-9630",
            "fax_number": "202-296-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 19TH ST NW",
            "address_2": "SUITE 500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200366601",
            "telephone_number": "202-728-9630",
            "fax_number": "202-296-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.C. MEDICINE AND ALLERGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "ENELOW",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-728-9630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD16498",
            "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 Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.