Individual provider Active NPI

Yewande Johnson, MD

  • Pediatric Anesthesiology Physician
  • Washington, DC
National Provider Identifier
1366527962
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
MD034356 Issued in DC
Practice address
111 Michigan Ave NW
Washington, DC 20010-2978
Phone
(202) 884-2025
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Anesthesiology Physician 207LP3000X MD034356 DC Primary

Addresses

Primary practice location

111 Michigan Ave NW
Washington, DC 20010-2978

Mailing address

111 Michigan Ave NW
Washington, DC 20010-2978
Phone (202) 884-2025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20040723000715 DC Practitioner - Anesthesiology 6901886522 Reassigns benefits to 6 organizations
I20240803000085 MD Practitioner - Anesthesiology 6901886522 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of North Carolina at Chapel Hill School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Company LLCGroup PAC ID 4587559026, 373 clinicians
Charm City Anesthesia LLCGroup PAC ID 1850718073, 6 clinicians

Practice addresses (Care Compare)

2001 Medical Pkwy
Annapolis, MD 21401-3773
Phone (443) 481-1000

4831 Cordell Ave
Bethesda, MD 20814-3068
Phone (301) 657-8200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD034356DCMDPediatric Anesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group Anesthesiology LLC CurrentSince Feb 1, 2024 Accepting new patients
Capitol Anesthesia Associates, LTD CurrentSince Mar 1, 2024 Accepting new patients
Children'S Hospital CurrentSince Mar 15, 2016 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2024 Accepting new patients
Anesthesia Company, LLC CurrentSince Jul 1, 2024 Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince Feb 1, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2024 Accepting new patients
Orthomed Staffing LLC CurrentSince Aug 22, 2024 Accepting new patients
Children'S Hospital Current Accepting new patients
Children'S Hospital CurrentSince Mar 15, 2016 Accepting new patients
Charm City Anesthesia LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

111 Michigan Ave NW
#M
Washington, DC 20010
Phone (202) 884-3031

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

6400 Goldsboro Rd
Ste 400
Bethesda, MD 20817
Phone (301) 263-0800

4831 Cordell Ave
Bethesda, MD 20814
Phone (301) 657-8200

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

4991 New Design Rd
Ste 103
Frederick, MD 21703
Phone (301) 363-5858

20680 Seneca Meadows Pkwy
Ste 200
Germantown, MD 20876
Phone (240) 608-6000

6710 Oxon Hill Rd
Ste 150
Oxon Hill, MD 20745
Phone (240) 461-6999

70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040

8905 Fairview Rd
Silver Spring, MD 20910
Phone (888) 554-0631

Organizations & group practices 11

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366527962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MICHIGAN AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102978",
            "telephone_number": "202-884-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MICHIGAN AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102978",
            "telephone_number": "202-884-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "YEWANDE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "DC",
            "license": "MD034356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.