Individual provider Active NPI

Phoebe Vuwansi Chongong, NP

  • Primary Care Nurse Practitioner
  • Upper Marlboro, MD
National Provider Identifier
1194336941
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
R193796 Issued in MD
Practice address
10300 Crystal Brook CT
Upper Marlboro, MD 20772-6687
Phone
(240) 271-5078
NPI assigned
Aug 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X R193796 MD Primary

Addresses

Primary practice location

10300 Crystal Brook CT
Upper Marlboro, MD 20772-6687

Mailing address

10300 Crystal Brook CT
Upper Marlboro, MD 20772-6687
Phone (240) 271-5078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221222001448 DC Practitioner - Nurse Practitioner 6103296793 Reassigns benefits to 4 organizations
I20221222001938 MD Practitioner - Nurse Practitioner 6103296793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-7000

Hospital & facility affiliations

  • Medstar Health Vna Home health agency, Washington, DC, CCN 097000
  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011
  • Medstar National Rehabilitation Hospital Inpatient rehabilitation facility, Washington, DC, CCN 093025

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as group
Quality
80.29
Promoting interoperability
100
Improvement activities
40
Cost
75.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC Multi-Specialty CurrentSince Oct 1, 2022 Accepting new patients
Washington Hospital Center Corp Multi-Specialty CurrentSince Aug 20, 2023 Accepting new patients
Medstar Medical Group II LLC Multi-Specialty CurrentSince Dec 1, 2023 Accepting new patients
WHC Physician Group LLC Multi-Specialty Current Accepting new patients
Medstar Urgent Care LLC Multi-Specialty Current Accepting new patients
Washington Hospital Center Corp Multi-Specialty CurrentSince Aug 20, 2023 Accepting new patients
Medstar Urgent Care LLC Multi-Specialty Current Accepting new patients
WHC Physician Group LLC Multi-Specialty CurrentSince Dec 1, 2023 Accepting new patients
Medstar Urgent Care, LLC Multi-Specialty CurrentSince Oct 1, 2022 Accepting new patients
WHC Emerg Phys Multi-Specialty CurrentSince Dec 1, 2023 Accepting new patients
Medstar Medical Group II LLC Multi-Specialty Past Accepting new patients
Washington Hospital Center Corp Multi-Specialty Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

110 Irving St NW
Ste 1A50A
Washington, DC 20010
Phone (202) 877-0028

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

12111 Darnestown Rd
Gaithersburg, MD 20878
Phone (301) 926-3020

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

Organizations & group practices 12

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": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1194336941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 CRYSTAL BROOK CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207726687",
            "telephone_number": "240-271-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 CRYSTAL BROOK CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207726687",
            "telephone_number": "240-271-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONGONG",
        "first_name": "PHOEBE",
        "middle_name": "VUWANSI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R193796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.