Individual provider Active NPI

Dawn Stephanie Christopher, MD

  • Cardiovascular Disease Physician
  • Waldorf, MD
National Provider Identifier
1265670046
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0082004 Issued in MD
Practice address
12070 Old Line Ctr
Suite 303
Waldorf, MD 20602-2513
Phone
(301) 645-5100
Fax
(607) 763-5064
NPI assigned
Feb 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 25MA08709500 NJ
Internal Medicine Physician 207R00000X 272726 NY
Hospitalist Physician 208M00000X 272726 NY
Cardiovascular Disease Physician 207RC0000X D0082004 MD Primary

Addresses

Primary practice location

12070 Old Line Ctr
Suite 303
Waldorf, MD 20602-2513

Mailing address

12070 Old Line Ctr
Suite 303
Waldorf, MD 20602-2513
Phone (301) 645-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160825000207 MD Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6103059878 Reassigns benefits to 1 organization
I20210225000711 DC Practitioner - Cardiovascular Disease (Cardiology) 6103059878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Howard University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capitol Cardiology Associates, LLCGroup PAC ID 6002714649, 32 clinicians

Practice addresses (Care Compare)

8116 Good Luck Rd
Suite 305
Lanham, MD 20706-3508
Phone (301) 552-1200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08709500NJMDInternal Medicine Physician
D0082004MDMDCardiovascular Disease Physician
272726NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Civista Medical Center Inc Current Accepting new patients
Civista Medical Center, Inc. CurrentSince Jul 22, 2016 Accepting new patients
Civista Medical Center, Inc. CurrentSince Jul 22, 2016 Accepting new patients
Capitol Cardiology Associates, LLC Cardiovascular Disease CurrentSince Feb 23, 2021 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

701 Charles St
La Plata, MD 20646
Phone (301) 609-4000

8116 Good Luck Rd
Ste 305
Lanham, MD 20706
Phone (301) 486-7580

Interoperability endpoints

  • Direct secure messaging: dchristopher547935@direct.umm.edu

Organizations & group practices 5

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": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1265670046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12070 OLD LINE CTR",
            "address_2": "SUITE 303",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022513",
            "telephone_number": "301-645-5100",
            "fax_number": "607-763-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12070 OLD LINE CTR",
            "address_2": "SUITE 303",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022513",
            "telephone_number": "301-645-5100",
            "fax_number": "607-763-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOPHER",
        "first_name": "DAWN",
        "middle_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-02",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08709500",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "272726",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "272726",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0082004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.