NPIMap

Individual provider Active NPI

John Lichtenberger, M.D.

  • Diagnostic Radiology Physician
  • Washington, DC
National Provider Identifier
1215098504
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD046109 Issued in DC
Practice address
GW Medical Faculty Associates, Inc
900 23Rd St NW
Washington, DC 20037
Phone
(202) 715-5189
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLC 3,726 clinicians
Physician Imaging of Washington Hospital Center LLC 102 clinicians
Medstar Medical Group - Southern Maryland LLC 241 clinicians
Medical Faculty Associates, Inc 676 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

12 Medstar Blvd
Bel Air, MD 21015-1798
Phone (443) 625-5430

1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440

24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900

3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (703) 558-1400

5454 Wisconsin Ave
Suite 1100
Chevy Chase, MD 20815-6925
Phone (301) 215-9420

900 23Rd St NW
Washington, DC 20037-2342
Phone (202) 715-4000

Hospital & facility affiliations

  • George Washington Univ Hospital Hospital, Washington, DC, CCN 090001
  • Medstar Georgetown University Hospital Hospital, Washington, DC, CCN 090004
  • Frederick Health Hospital Hospital, Frederick, MD, CCN 210005
  • Medstar Southern Maryland Hospital Center Hospital, Clinton, MD, CCN 210062
  • Howard University Hospital Corp Hospital, Washington, DC, CCN 090003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181009001378 DC Practitioner - Diagnostic Radiology 4587797790 Reassigns benefits to 3 organizations
I20260420003365 MD Practitioner - Diagnostic Radiology 4587797790 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
119028CAMDClinical Social Worker
243064MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Faculty Associates, Inc CurrentSince Aug 12, 2018 Accepting new patients

Locations

2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222

900 23rd St NW
Ofc G113
Washington, DC 20037

2021 K St NW
Ste 408
Washington, DC 20006
Phone (202) 223-1024

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X
Diagnostic Radiology Physician 2085R0202X 243064 MA
Diagnostic Radiology Physician 2085R0202X A119028 CA
Diagnostic Radiology Physician 2085R0202X MD046109 DC Primary

Addresses

NPPES NPI Registry

Primary practice location

GW Medical Faculty Associates, Inc
900 23Rd St NW
Washington, DC 20037

Mailing address

900 23Rd St NW Ofc G-113
Washington, DC 20037-2342

Other practice location 1

101 Bodin Cir
David Grant Medical Center, Department of Radiology
Travis AFB, CA 94535-1809
Phone (707) 423-5230

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 24, 2018.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1215098504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 23RD ST NW OFC G-113",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GW MEDICAL FACULTY ASSOCIATES, INC",
            "address_2": "900 23RD ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20037",
            "telephone_number": "202-715-5189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Bodin Cir",
            "address_2": "David Grant Medical Center, Department of Radiology",
            "address_purpose": "LOCATION",
            "city": "Travis AFB",
            "state": "CA",
            "postal_code": "945351809",
            "country_code": "US",
            "telephone_number": "707-423-5230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LICHTENBERGER",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "243064",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A119028",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD046109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.