NPIMap

Organization Active NPI

Lisackaufman,MD,Allent Greenlee,MD,and Elizabethpwheatonmd,PC

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1215966213
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LISACKAUFMAN,MD,ALLENT GREENLEE,MD,AND ELIZABETHPWHEATONMD,PC
Practice address
1850 M St NW Ste 230
Washington, DC 20036-5812
Phone
(202) 833-7051
Fax
(202) 833-7056
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Authorized official

Name
Dr. Allen GreenleeNPI 1922123173
Title
M.D.
Phone
(202) 833-7051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1850 M St NW Ste 230
Washington, DC 20036-5812

Mailing address

PO Box 3160
Andover, MA 01810-0803
Phone (978) 474-8885

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100722000026 DC Part B Supplier - Clinic/Group Practice 4385776640 Receives reassigned benefits from 3 practitioners
Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1215966213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3160",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018100803",
            "telephone_number": "978-474-8885",
            "fax_number": "978-474-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 M ST NW STE 230",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365812",
            "telephone_number": "202-833-7051",
            "fax_number": "202-833-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISACKAUFMAN,MD,ALLENT GREENLEE,MD,AND ELIZABETHPWHEATONMD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "GREENLEE",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "202-833-7051",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 10, 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.