Individual provider Active NPI

Tessa Thompson, DO

  • Family Medicine Physician
  • Washington, DC
National Provider Identifier
1124239090
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0116016481 Issued in VA
Practice address
2155 Champlain St NW
Washington, DC 20009-2795
Phone
(202) 540-9857
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116016481 VA Primary

Addresses

Primary practice location

2155 Champlain St NW
Washington, DC 20009-2795

Mailing address

4 Atlantic St SW
Washington, DC 20032-2350
Phone (202) 540-9857

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100517000520 DC Practitioner - Family Practice 8426186156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nebraska College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community of Hope, IncGroup PAC ID 5092612762, 54 clinicians

Practice addresses (Care Compare)

2155 Champlain St NW
Marie Reed HLTH Ctr
Washington, DC 20009-2795
Phone (202) 407-7747

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116016481VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community of Hope Inc. CurrentSince Feb 13, 2010 Accepting new patients
Community of Hope, Inc. Current Accepting new patients
Community of Hope Inc. CurrentSince Feb 13, 2010 Accepting new patients
Community of Hope, Inc Past Accepting new patients

Locations

2155 Champlain St NW
Washington, DC 20009
Phone (202) 407-3080

2120 Bladensburg Rd NE
Washington, DC 20018
Phone (202) 407-3080

4 Atlantic St SW
Washington, DC 20032
Phone (202) 407-3080

2250 Champlain St NW
Washington, DC 20009
Phone (202) 232-9022

2375 Elvans Rd SE
Washington, DC 20020
Phone (202) 328-6608

Interoperability endpoints

  • Direct secure messaging: tessa.thompson@coh.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1124239090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ATLANTIC ST SW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322350",
            "telephone_number": "202-540-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 CHAMPLAIN ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092795",
            "telephone_number": "202-540-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TESSA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116016481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.