Individual provider Active NPI

Josephine Mendoza Weeks, MD

  • General Practice Physician
  • Washington, DC
National Provider Identifier
1407823826
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD034646 Issued in DC
Practice address
1150 Varnum St NE
Washington, DC 20017-2104
Phone
(202) 448-4090
Fax
(202) 269-4093
NPI assigned
Mar 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD034646 DC Primary
General Practice Physician 208D00000X 0101237466 VA
General Practice Physician 208D00000X C10007571 DE
Pediatrics Physician 208000000X MD034646 DC

Addresses

Primary practice location

1150 Varnum St NE
Washington, DC 20017-2104

Mailing address

1150 Varnum St NE
Washington, DC 20017-2104
Phone (202) 448-4090

Other identifiers 2

IdentifierTypeStateIssuer
038018400MedicaidDC
010239001MedicaidVA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040519000953 DC Practitioner - Pediatric Medicine 2264423276

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD034646DCMDPediatrics Physician
C10007571DEMDGeneral Practice Physician
0101237466VAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health Services Inc CurrentSince May 25, 2010 Accepting new patients
Providence Health Services, Inc CurrentSince May 25, 2010 Accepting new patients
National Rehabilitation Hospital Inc Past Accepting new patients
Emergency Medicine Associates P.a., P.C. Pediatrics Past Accepting new patients

Locations

1160 Varnum St NE
Ste 110
Washington, DC 20017
Phone (202) 854-4080

1140 Varnum St NE
Ste 100
Washington, DC 20017
Phone (202) 854-7623

1150 Varnum St NE
Washington, DC 20017
Phone (202) 269-7000

1150 Varnum St NE
Rm 102
Washington, DC 20017

Organizations & group practices 4

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1407823826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 VARNUM ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172104",
            "telephone_number": "202-448-4090",
            "fax_number": "202-269-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 VARNUM ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172104",
            "telephone_number": "202-448-4090",
            "fax_number": "202-269-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEKS",
        "first_name": "JOSEPHINE",
        "middle_name": "MENDOZA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "DC",
            "license": "MD034646",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101237466",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "DE",
            "license": "C10007571",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "MD034646",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038018400",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010239001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.