Ajetha Nadanasabesan

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA200002202 Issued in DC

Practice address

1525 14TH St NW
Washington, DC 20005-3706

Phone

(202) 745-7000

NPI assigned

Aug 29, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Whitman-Walker Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Washington, DC
  • NPI 1184616617

  DC

  Medicare reassignment NPD
• Whitman-Walker Clinic Inc.

  • Community/Retail Pharmacy
  • Washington, DC
  • NPI 1003316316
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1174308985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 14TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200053706",
            "telephone_number": "202-745-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 14TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200053706",
            "telephone_number": "202-745-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADANASABESAN",
        "first_name": "AJETHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA200002202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose V Nable, MD
• Matilda Nabukeera
• Jennifer Carole Nachbar, LPC
• Tsehay Nachore
• Vilma Nadal, LICSW
• Zurab Nadareishvili, MD
• Tuahir Hassan Nadeem Hussain, M.D.
• Rahul Nadendla
• Nader Rezvani D.D.S., P.C.
• Elsabet A Nadew

• All providers in Washington, DC
• Physician Assistant in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.