Individual provider Active NPI

Candrice Rachelle Heath, MD

  • Dermatology Physician
  • Washington, DC
National Provider Identifier
1346436052
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD500002692 Issued in DC
Practice address
2041 Georgia Ave NW Ste 4300
Washington, DC 20060-0002
Phone
(202) 865-6725
NPI assigned
Sep 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD430770 PA
Dermatology Physician 207N00000X LT4029 NH
Pediatrics Physician 208000000X MD430770 PA
Dermatology Physician 207N00000X MD500002692 DC Primary

Addresses

Primary practice location

2041 Georgia Ave NW Ste 4300
Washington, DC 20060-0002

Mailing address

2041 Georgia Ave NW Ste 4300
Washington, DC 20060-0002
Phone (202) 865-6725

Other practice location 1

1316 W Ontario St
Philadelphia, PA 19140
Phone (215) 707-3376

Other practice location 2

1316 W Ontario St
Philadelphia, PA 19140
Phone (215) 707-3376

Other practice location 3

333 Cottman Ave
Philadelphia, PA 19111-2497
Phone (215) 728-2191

Other practice location 4

253 Pleasant St
Concord, NH 03301-7560
Phone (603) 226-6119

Other practice location 5

932 Pine St
Philadelphia, PA 19107-6128
Phone (215) 829-6861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110406000348 PA Practitioner - DermatologyPractitioner - Pediatric MedicinePractitioner - Emergency Medicine 1456535079 Reassigns benefits to 1 organization
I20241030000615 DC Practitioner - Dermatology 1456535079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Virginia School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howard UniversityGroup PAC ID 0941109565, 182 clinicians

Practice addresses (Care Compare)

2041 Georgia NW Ave
Washington, DC 20060-0001
Phone (202) 865-6679

Merit-based Incentive Payment System (MIPS)

Final score
81.21 of 100Reported as group
Quality
49.71
Promoting interoperability
100
Improvement activities
40
Cost
74.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD500002692DCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Faculty Practice Plan Inc CurrentSince Mar 6, 2019 Accepting new patients
Howard University Dermatology CurrentSince Oct 17, 2024 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Temple Faculty Practice Plan Inc Dermatology CurrentSince Mar 6, 2019 Accepting new patients
Delaware Center for Digestive Care LLC PastSince Aug 22, 2016 Accepting new patients
Vascular Associates LLC Past Accepting new patients

Locations

4414 Benning Rd NE
Fl 2
Washington, DC 20019
Phone (202) 865-2120

2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785

2041 Georgia Ave NW
Ste 4300
Washington, DC 20060
Phone (202) 865-1670

2041 Georgia Ave NW
#3400
Washington, DC 20060

4414 Benning Rd NE
Washington, DC 20019
Phone (202) 388-7891

2101 Medical Park Dr
Ste 305
Silver Spring, MD 20902
Phone (301) 754-0833

515 Pennsylvania Ave
Ft Washington, PA 19034
Phone (215) 641-0700

333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893

2450 W Hunting Park Ave
Philadelphia, PA 19129
Phone (215) 707-2433

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

1316 W Ontario St
Philadelphia, PA 19140
Phone (215) 707-2400

Interoperability endpoints

  • Direct secure messaging: candriceheath@hufp.allscriptsdirect.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1346436052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW STE 4300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200600002",
            "telephone_number": "202-865-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW STE 4300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200600002",
            "telephone_number": "202-865-6725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1316 W Ontario St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19140",
            "country_code": "US",
            "telephone_number": "215-707-3376",
            "fax_number": "215-707-9510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1316 W Ontario St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19140",
            "country_code": "US",
            "telephone_number": "215-707-3376",
            "fax_number": "215-707-9510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Cottman Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191112497",
            "country_code": "US",
            "telephone_number": "215-728-2191",
            "fax_number": "215-214-3992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "253 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033017560",
            "country_code": "US",
            "telephone_number": "603-226-6119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "932 Pine St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191076128",
            "country_code": "US",
            "telephone_number": "215-829-6861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEATH",
        "first_name": "CANDRICE",
        "middle_name": "RACHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD430770",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NH",
            "license": "LT4029",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD430770",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "DC",
            "license": "MD500002692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.