Organization Active NPI

Howard University Hospital

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Washington, DC
National Provider Identifier
1184785958
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
HOWARD UNIVERSITY HOSPITAL
Practice address
2041 Georgia Ave NW
Tower Building Suite 6125
Washington, DC 20060-0001
Phone
(202) 865-3623
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Authorized official

Name
Mrs. Veronica Brown Mayo
Title
Assistant Director, Revenue Strat
Phone
(202) 865-3623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

2041 Georgia Ave NW
Tower Building Suite 6125
Washington, DC 20060-0001

Mailing address

2041 Georgia Ave NW
Tower Building Suite 6125
Washington, DC 20060-0001
Phone (202) 865-4803

Other identifiers 9

IdentifierTypeStateIssuer
0376123MedicaidOH
145357MedicaidSC
9900003MedicaidNC
0911956600MedicaidFL
00281608XMedicaidGA
005205100MedicaidMD
009810251MedicaidVA
029848900MedicaidDC
2663096MedicaidNY

National Provider Directory

National Provider Directory

Locations

2041 Georgia Ave NW
Ste 6125
Washington, DC 20060
Phone (202) 865-3623

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1184785958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW",
            "address_2": "TOWER BUILDING SUITE 6125",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200600001",
            "telephone_number": "202-865-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW",
            "address_2": "TOWER BUILDING SUITE 6125",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200600001",
            "telephone_number": "202-865-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD UNIVERSITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "BROWN",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR, REVENUE STRAT",
        "authorized_official_telephone_number": "202-865-3623",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0376123",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145357",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9900003",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0911956600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00281608X",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005205100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009810251",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029848900",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2663096",
            "state": "NY"
        }
    ],
    "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 Jan 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.