Breast Care for Washington

Primary specialty

Mammography Clinic/CenterTaxonomy code 261QR0206X

Legal business name

BREAST CARE FOR WASHINGTON

Practice address

1201 Sycamore Dr SE Ste 400
Washington, DC 20032-5956

Phone

(202) 465-7164

Fax

(202) 905-0159

NPI assigned

Nov 5, 2012

Last updated

Jul 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Winifred Wetherall

Title

Ceo

Phone

(202) 465-7164

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC, FL3 enrollments

Enrollment records 3

Tax ID family

Breast Care for Washington2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Breast Care for Washington

  • Radiology Clinic/Center
  • Washington, DC
  • NPI 1992675151
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• O'Keith Dellafosse, M.D.

  • Diagnostic Radiology Physician
  • North Miami, FL
  • NPI 1124453949
  Medicare reassignment NPD
• Regina Hampton, M.D.

  • Surgery Physician
  • Laurel, MD
  • NPI 1356338230

  DC

  Medicare reassignment NPD
• Johnathan Charles Hays, M.D.

  • Diagnostic Radiology Physician
  • Norfolk, VA
  • NPI 1366654162

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1285988782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SYCAMORE DR SE STE 400",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200325956",
            "telephone_number": "202-465-7164",
            "fax_number": "202-905-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SYCAMORE DR SE STE 400",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200325956",
            "telephone_number": "202-465-7164",
            "fax_number": "202-905-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST CARE FOR WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "WETHERALL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "WINIFRED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-465-7164"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0207X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile Mammography",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024000684",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breaking Cycles Therapeutic Services LLC
• Breaking Silos in Medicine LLC
• Breakthrough Montessori Public Charter School
• Christopher Brearly, LPC
• Breast Care for Washington
• Breast Care for Washington
• Breastfeeding Center for Greater Washington
• Breastfeeding Outreach for Greater Washington
• Breathe DC, Inc.
• Breathing Space LLC (Breathing Space Family Yoga)

• Mammography Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• Mammography Clinic/Center in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.