Organization Active NPI

Metropolitian Podiatry Assoc PLLC

  • Podiatrist
  • Washington, DC
National Provider Identifier
1174616585
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO582 Issued in DC
Legal business name
METROPOLITIAN PODIATRY ASSOC PLLC
Practice address
7603 Georgia Ave NW Ste 100
Washington, DC 20012-1630
Phone
(202) 882-9682
Fax
(202) 882-4983
NPI assigned
Sep 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Authorized official

Name
Dr. Marie Berthie Labissiere, DPM
Title
Partner
Phone
(202) 882-9682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO582 DC Primary

Addresses

Primary practice location

7603 Georgia Ave NW Ste 100
Washington, DC 20012-1630

Mailing address

7603 Georgia Ave NW Ste 100
Washington, DC 20012-1630
Phone (202) 882-9682

Other identifiers 1

IdentifierTypeStateIssuer
027002300MedicaidDC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090317000291 DC Part B Supplier - Clinic/Group Practice 3577620681 Receives reassigned benefits from 2 practitioners
Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1174616585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7603 GEORGIA AVE NW STE 100",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121630",
            "telephone_number": "202-882-9682",
            "fax_number": "202-882-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7603 GEORGIA AVE NW STE 100",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121630",
            "telephone_number": "202-882-9682",
            "fax_number": "202-882-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITIAN PODIATRY ASSOC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "LABISSIERE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "BERTHIE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "202-882-9682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "DC",
            "license": "PO582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027002300",
            "state": "DC"
        }
    ],
    "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 Jun 16, 2020; 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.