Active NPI
Gerald Family Care
- Family Medicine Physician
- Washington, DC
National Provider Identifier
1407056336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GERALD FAMILY CARE
- Practice address
- 1160 Varnum St NE
Ste 117
Washington, DC 20017-2107 - Phone
- (202) 832-7007
- Fax
- (202) 529-5290
- NPI assigned
- Jul 19, 2007
- Last updated
- Dec 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Stewart
- Title
- Billing Manager
- Phone
- (301) 773-3752
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1160 Varnum St NE
Ste 117
Washington, DC 20017-2107
Mailing address
PO Box 75492
Baltimore, MD 21275-5492
Phone (301) 773-3752
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8702 | Other | DC | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 09D0881438 | Gerald Family Care, PC #1 | Certificate of waiver | Oct 4, 2026 |
National Provider Directory
National Provider DirectoryLocations
2905 Mitchellville Rd
Ste 102
Bowie, MD 20716
Phone (301) 218-4101
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Washington, DC
- NPI 1841228947
-
- Physician Assistant
- Washington, DC
- NPI 1932495124
-
- Physician Assistant
- Washington, DC
- NPI 1831859685
-
- Women's Health Nurse Practitioner
- Bowie, MD
- NPI 1730588633
-
- Family Medicine Physician
- Rockledge, FL
- NPI 1205900388
-
- Family Medicine Physician
- Mountain View, CA
- NPI 1437245099
-
- Nutritionist
- Bowie, MD
- NPI 1144518739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197331200000",
"number": "1407056336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 75492",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212755492",
"telephone_number": "301-773-3752",
"fax_number": "202-529-5290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 VARNUM ST NE",
"address_2": "STE 117",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200172107",
"telephone_number": "202-832-7007",
"fax_number": "202-529-5290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERALD FAMILY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-19",
"last_updated": "2007-12-11",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "301-773-3752"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8702",
"state": "DC"
}
],
"endpoints": [],
"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 Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.