NPIMap

Organization Active NPI

Children'S Hospital

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Washington, DC
National Provider Identifier
1255523403
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
CHILDREN'S HOSPITAL
Practice address
111 Michigan Ave NW
Washington, DC 20010-2978
Phone
(301) 572-1323
Fax
(301) 572-1312
NPI assigned
Aug 13, 2007
Organization subpart
Yes
Parent organization
CHILDREN'S HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Phillicia Nelson
Title
Exec Dir-Payor Financial Relations
Phone
(301) 572-6281

Specialties & licenses 1

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

Addresses

Primary practice location

111 Michigan Ave NW
Washington, DC 20010-2978

Mailing address

111 Michigan Ave NW
Washington, DC 20010-2978
Phone (301) 572-1323

Other names 1

  • Children's National Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060912000240 DC Part A Provider - Hospital 0244143170 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Frederick, MD; Washington, DC; Silver Spring, MD; Rockville, MD; Lanham, MD; Fulton, MD; Fairfax, VA; Annapolis, MD

Hospital certification: CCN 093300

Legal name
CHILDREN'S HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Children’s
Participating since
Dec 15, 1985
Last certification
Jun 21, 2019
Beds
323
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 5, 1870 in DC
Enrollment address
111 Michigan Ave NW
Washington, DC 20010-2916
Other Hospital Practice Location
Hospital subgroups
Children’s

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Childrens National Medical CenterCCN 092305
Ownership
Profit
Certified
Aug 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
6

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Care Compare: Hospital

Medicare Care Compare
Listed as
Children'S National HospitalCCN 093300
Type
Childrens
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Childrens Hospital Phys42 organizations share this tax ID, including this one
Part of
Childrens Hospital Phys

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 25

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael Jones Individual Other Aug 1, 2024
Phillicia Nelson Individual Corporate Director Jan 29, 2017
W-2 Managing Employee Jan 19, 2016
David Strickland Individual Other Jul 1, 2022
Eric F Minkove Individual Other Jul 1, 2025
Ramanarayan Potarazu Individual Other Jul 1, 2025
David Martin Levy Individual Other Jan 1, 2026
Mark Cale Individual Operational/Managerial ControlInterim Evp, Cfo Mar 1, 2026
Marsha Regenstein Individual Other Aug 1, 2022
Radha Muthiah Individual Other Jun 6, 2025
Amy Freeman Individual Other Jul 1, 2019
Julie Roby Individual Corporate DirectorDirector, Patient Finanical Serv Jul 1, 2008
W-2 Managing EmployeeDirector, Patient Finanical Serv Jul 1, 2008
Barbara Kunz Individual Other Jan 1, 2017
Elizabeth M Wells Individual Operational/Managerial ControlChief Clinical Officer Dec 7, 2025
Amy Baier Individual Other Jul 1, 2007
Percival Kane Individual Operational/Managerial ControlSVP, Chief Operating Officer Sep 29, 2025
Childrens National Medical Center Organization, Washington, DC Non-profit 5% Or Greater Direct Ownership Interest Jun 30, 1989 100%
Other Jun 30, 1989
James Reyes Individual Other Jul 1, 2019
Kathryn Williams Individual Other Jul 1, 2025
Horacio Rozanski Individual Other Jul 1, 2019
Michael Ward Individual Other Jul 1, 2020
Michelle M Riley-Brown Individual Corporate Officer Jul 1, 2023
Antoinette Bush Individual Other Jul 1, 2023
Caroline Van Vleck Individual Other Jul 1, 2015
Carrie Marriott Individual Other Jul 1, 2023
Linda Rabbit Individual Other May 26, 2026

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Elizabeth Wells, MD
    • Neurology with Special Qualifications in Child Neurology Physician
    • Washington, DC
    • NPI 1962669846

    Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Affiliated clinicians 27

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1255523403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MICHIGAN AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102978",
            "telephone_number": "301-572-1323",
            "fax_number": "301-572-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MICHIGAN AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102978",
            "telephone_number": "301-572-1323",
            "fax_number": "301-572-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S HOSPITAL",
        "enumeration_date": "2007-08-13",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "PHILLICIA",
        "authorized_official_title_or_position": "EXEC DIR-PAYOR FINANCIAL RELATIONS",
        "authorized_official_telephone_number": "301-572-6281"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's National Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.