Active NPI
Wei-Jen Chua Yankelevich, DO
- Family Medicine Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO210001749
- Practice address
- 765 Kenilworth Ter NE
Washington, DC 20019-1898 - Phone
- (202) 469-4699
- NPI assigned
- Mar 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO210001749 | DC | Primary |
Addresses
Primary practice location
765 Kenilworth Ter NE
Washington, DC 20019-1898
Mailing address
10916 Lombardy Rd
Silver Spring, MD 20901-1635
Phone (202) 279-1568
Other practice location 1
501 S Washington Ave
Scranton, PA 18505-3814
Phone (570) 343-2383
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12201 Plum Orchard Dr
Silver Spring, MD 20904-7803
Phone (301) 572-1000
1221 Mercantile LN
Largo, MD 20774-5374
Phone (301) 618-5700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO210001749 | DC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Unity Health Care, Inc. | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Family Medicine | Current | Accepting new patients |
| Unity Health Care Inc. | Current | Accepting new patients |
Locations
1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000
765 Kenilworth Ter NE
Washington, DC 20019
Phone (202) 388-8160
4000 Garden City Dr
Fl 4
Hyattsville, MD 20785
Phone (227) 229-8532
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
Organizations & group practices 5
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.
-
- Health Maintenance Organization
- Annapolis, MD
- NPI 1952461816
DC, Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1093894172
-
- Community/Retail Pharmacy
- Washington, DC
- NPI 1346014412
-
- Health Maintenance Organization
- Gaithersburg, MD
- NPI 1831471713
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockville, MD
- NPI 1962108753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1306423561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10916 LOMBARDY RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209011635",
"telephone_number": "202-279-1568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 KENILWORTH TER NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200191898",
"telephone_number": "202-469-4699"
}
],
"practiceLocations": [
{
"address_1": "501 S Washington Ave",
"address_purpose": "LOCATION",
"city": "Scranton",
"state": "PA",
"postal_code": "185053814",
"country_code": "US",
"telephone_number": "570-343-2383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YANKELEVICH",
"first_name": "WEI-JEN",
"middle_name": "CHUA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-25",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DC",
"license": "DO210001749",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "765 Kenilworth Ter NE",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200191898",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 30, 2024; 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.