Individual provider Active NPI

Madison Coogan

  • Student in an Organized Health Care Education/Training Program
  • Washington, DC
National Provider Identifier
1255138137
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
2600 Virginia Ave NW Ste 100
Washington, DC 20037-1918
Phone
(202) 994-7644
NPI assigned
Feb 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

2600 Virginia Ave NW Ste 100
Washington, DC 20037-1918

Mailing address

2600 Virginia Ave NW Ste 100
Washington, DC 20037-1918
Phone (202) 994-7644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20250805000149 DC Practitioner - Physician Assistant 4688182223 Reassigns benefits to 4 organizations
I20250918001808 VA Practitioner - Physician Assistant 4688182223 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
George Washington University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reston Radiology Consultants, PCGroup PAC ID 1557436730, 35 clinicians

Practice addresses (Care Compare)

24440 Stone Springs Blvd
Sterling, VA 20166-2247
Phone (703) 726-1201

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun Medical Group, PC CurrentSince Sep 1, 2025 Accepting new patients
Loudoun Medical Group, PC CurrentSince Sep 1, 2025 Accepting new patients

Locations

20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652

19500 Sandridge Way
Ste 460
Leesburg, VA 20176
Phone (571) 206-0767

19500 Sandridge Way
Ste 420
Leesburg, VA 20176
Phone (571) 375-8601

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

Organizations & group practices 7

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 2

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": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1255138137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 VIRGINIA AVE NW STE 100",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371918",
            "telephone_number": "202-994-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 VIRGINIA AVE NW STE 100",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371918",
            "telephone_number": "202-994-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOGAN",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.