Organization Active NPI

Capital Heart Associates, P.C.

  • Interventional Cardiology Physician
  • Washington, DC
National Provider Identifier
1104039650
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD18999 Issued in DC
Legal business name
CAPITAL HEART ASSOCIATES, P.C.
Practice address
5215 Loughboro Rd NW
Suite 460
Washington, DC 20016-2618
Phone
(202) 686-9801
Fax
(202) 363-6464
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Authorized official

Name
Nancy J. Davenport, MD, PHD, FACCNPI 1588610265
Title
President
Phone
(202) 686-9801

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X MD18999 DC
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X MD25545 DC
Interventional Cardiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0011X MD18999 DC Primary
Medical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AM0700X PA030947 DC

Addresses

Primary practice location

5215 Loughboro Rd NW
Suite 460
Washington, DC 20016-2618

Mailing address

5215 Loughboro Rd NW
Suite 460
Washington, DC 20016-2618
Phone (202) 686-9801

Other identifiers 1

IdentifierTypeStateIssuer
CC1952OtherDCRR MEDICARE

Other names 1

  • Nancy J. Davenport, M.D., P.C. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041221000385 DC Part B Supplier - Clinic/Group Practice 9638137714 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, DC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
09D1100467Capital Heart Associates, PC5215 Loughboro Road, NW Suite 460, Washington, DC 20016Certificate of waiverJun 4, 2027

National Provider Directory

National Provider Directory

Locations

5215 Loughboro Rd NW
Ste 460
Washington, DC 20016
Phone (202) 244-9300

3301 New Mexico Ave NW
Ste 202
Washington, DC 20016
Phone (202) 243-0271

Practitioners & affiliated clinicians

Practitioners 1

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1104039650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 LOUGHBORO RD NW",
            "address_2": "SUITE 460",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162618",
            "telephone_number": "202-686-9801",
            "fax_number": "202-363-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 LOUGHBORO RD NW",
            "address_2": "SUITE 460",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162618",
            "telephone_number": "202-686-9801",
            "fax_number": "202-363-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL HEART ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-686-9801",
        "authorized_official_credential": "MD, PHD, FACC"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DC",
            "license": "MD18999",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DC",
            "license": "MD25545",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "DC",
            "license": "MD18999",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "DC",
            "license": "PA030947",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CC1952",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nancy J. Davenport, M.D., P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.