Individual provider Active NPI

Fred Irwin Polsky, M.D.

  • Nephrology Physician
  • Washington, DC
National Provider Identifier
1285731620
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD035904 Issued in DC
Practice address
4100 Cathedral Ave NW
Apt. PH-16
Washington, DC 20016-3584
Phone
(202) 237-1224
Fax
(202) 686-2595
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD035904 DC Primary

Addresses

Primary practice location

4100 Cathedral Ave NW
Apt. PH-16
Washington, DC 20016-3584

Mailing address

4100 Cathedral Ave NW
Apt. PH-16
Washington, DC 20016-3584
Phone (202) 237-1224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD035904DCMDNephrology Physician

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285731620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 CATHEDRAL AVE NW",
            "address_2": "APT. PH-16",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200163584",
            "telephone_number": "202-237-1224",
            "fax_number": "202-686-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 CATHEDRAL AVE NW",
            "address_2": "APT. PH-16",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200163584",
            "telephone_number": "202-237-1224",
            "fax_number": "202-686-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLSKY",
        "first_name": "FRED",
        "middle_name": "IRWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "DC",
            "license": "MD035904",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.