Organization Active NPI

Felton P Anderson MD Inc

  • Specialist
  • Washington, DC
National Provider Identifier
1275828873
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0041182 Issued in MD
Legal business name
FELTON P ANDERSON MD INC
Practice address
106 Irving St NW
Washington, DC 20010-2927
Phone
(540) 389-3620
Fax
(540) 389-3621
NPI assigned
Jun 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Authorized official

Name
Diane L Van Luven
Title
Manager
Phone
(540) 389-3620

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X D0041182 MD Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 20985 DC

Addresses

Primary practice location

106 Irving St NW
Washington, DC 20010-2927

Mailing address

106 Irving St NW
Washington, DC 20010-2927
Phone (540) 389-3620

Other identifiers 2

IdentifierTypeStateIssuer
DB5199OtherDCRR MCRE
G763OtherBLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110817000243 DC Part B Supplier - Clinic/Group Practice 1850560459 Receives reassigned benefits from 1 practitioner
Practice locations: Ft Washington, MD; Washington, DC

National Provider Directory

National Provider Directory

Locations

8507 Oxon Hill Rd
Ste 102
Fort Washington, MD 20744
Phone (301) 292-1800

8507 Oxon Hill Rd
Ft Washington, MD 20744
Phone (301) 292-1800

Practitioners & affiliated clinicians

Practitioners 1

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": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1275828873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 IRVING ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102927",
            "telephone_number": "540-389-3620",
            "fax_number": "540-389-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 IRVING ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102927",
            "telephone_number": "540-389-3620",
            "fax_number": "540-389-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELTON P ANDERSON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "VAN LUVEN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "540-389-3620"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0041182",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "DC",
            "license": "20985",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCRE",
            "identifier": "DB5199",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "G763",
            "state": null
        }
    ],
    "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 Dec 5, 2011; 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.