Individual provider Active NPI

Henry James Fishman

  • Allergy Physician
  • Washington, DC
National Provider Identifier
1295899979
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
MD12429 Issued in DC
Practice address
2021 K St NW Ste 420
Washington, DC 20006-1017
Phone
(202) 833-3500
Fax
(202) 833-3503
NPI assigned
Dec 20, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X CS8800492 DC
Allergy Physician 207KA0200X MD12429 DC Primary

Addresses

Primary practice location

2021 K St NW Ste 420
Washington, DC 20006-1017

Mailing address

2021 K St NW Ste 420
Washington, DC 20006-1017
Phone (202) 833-3500

Other identifiers 1

IdentifierTypeStateIssuer
1922409705OtherDCMEDICARE GROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070205000276 DC Practitioner - Allergy/Immunology 9830191857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Rochester School of Medicine and Dentistry, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DMV Allergy and Asthma Center LLCGroup PAC ID 7719329515, 7 clinicians

Practice addresses (Care Compare)

2021 K St NW
Washington, DC 20006-1009
Phone (301) 252-1866

4660 Kenmore Ave
Suite 419
Alexandria, VA 22304-1306
Phone (301) 252-1866

Merit-based Incentive Payment System (MIPS)

Final score
23.32 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CS8800492DCMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DMV Allergy and Asthma Center LLC Single Specialty CurrentSince Aug 15, 2024 Accepting new patients

Locations

2021 K St NW
Ste 400
Washington, DC 20006
Phone (202) 466-5151

2021 K St NW
Ste 420
Washington, DC 20006
Phone (202) 833-3500

3301 New Mexico Ave NW
Ste 305
Washington, DC 20016
Phone (202) 362-0115

4660 Kenmore Ave
Ste 419
Alexandria, VA 22304
Phone (301) 252-1866

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295899979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 K ST NW STE 420",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061017",
            "telephone_number": "202-833-3500",
            "fax_number": "202-833-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 K ST NW STE 420",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061017",
            "telephone_number": "202-833-3500",
            "fax_number": "202-833-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHMAN",
        "first_name": "HENRY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "DC",
            "license": "CS8800492",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "DC",
            "license": "MD12429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NPI",
            "identifier": "1922409705",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.