Victoria Fedorova, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

MD043513 Issued in DC

Practice address

1160 Varnum St NE
Depaul 021
Washington, DC 20017-2107

Phone

(202) 854-7785

Fax

(202) 854-7734

NPI assigned

Jun 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Geriatric Medicine

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Providence Health Services IncGroup PAC ID 4385541622, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Washington, DC, CCN 097024
• Amedisys Home Health Care Home health agency, Largo, MD, CCN 217149
• Medstar Health Home Care Home health agency, Hyattsville, MD, CCN 217150
• Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011
• Ascension Living Carroll Manor Nursing home, Washington, DC, CCN 095034

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Providence Health Services Inc

  • Family Medicine Physician
  • Washington, DC
  • NPI 1669453809

  DC, Internal Medicine

  Medicare reassignment Care Compare group NPD
• Providence Health Services, Inc

  • Physiological Laboratory
  • Washington, DC
  • NPI 1598313595
  Care Compare group NPD
• Unity Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Washington, DC
  • NPI 1093894172

  DC

  Medicare reassignment
• Providence Health Services, Inc

  • Physiological Laboratory
  • Washington, DC
  • NPI 1285208009
  Care Compare group
• Carroll Manor

  • Skilled Nursing Facility
  • Washington, DC
  • NPI 1598736753
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys District of Columbia LLC

  • Home Health Agency
  • Washington, DC
  • NPI 1669426730
  Care Compare affiliation
• Carroll Manor

  • Skilled Nursing Facility
  • Washington, DC
  • NPI 1598736753

  Nursing home

  Care Compare affiliation
• Medstar Washington Hospital Center

  • General Acute Care Hospital
  • Washington, DC
  • NPI 1548378235

  Hospital

  Care Compare affiliation
• Amedisys Home Health of Maryland, LLC

  • Home Health Agency
  • Largo, MD
  • NPI 1831143908
  Care Compare affiliation
• Medstar Health Visiting Nurse Association, Inc.

  • Home Health Agency
  • Greenbelt, MD
  • NPI 1154437879
  Care Compare affiliation

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1306100185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 VARNUM ST NE",
            "address_2": "ST. CATHERINE'S HALL/1ST FLOOR/ROOM 102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172104",
            "telephone_number": "202-854-4812",
            "fax_number": "202-854-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE",
            "address_2": "DEPAUL 021",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172107",
            "telephone_number": "202-854-7785",
            "fax_number": "202-854-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDOROVA",
        "first_name": "VICTORIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "DC",
            "license": "MD043513",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD043513",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Federal City Recovery Services
• Federal City Recovery Services
• Federal City Recovery Services
• Federal City Recovery Services
• Federal City Recovery Services Inc
• Lydia Fedy
• Denise M. Feeley, R.D., L.D., CDE
• Sara Feeley, PA-C
• Linda Marie Feeney
• Amy Lynn Feeser, LGSW

• All providers in Washington, DC
• Geriatric Medicine (Internal Medicine) Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.