Active NPI
Felton P Anderson MD Inc
- Specialist
- Washington, DC
National Provider Identifier
1275828873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D0041182
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D0041182 | MD | Primary |
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DB5199 | Other | DC | RR MCRE |
| G763 | Other | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Cardiovascular Disease Physician
- Washington, DC
- NPI 1588655914
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.