Individual provider Active NPI

Irelene I Keller Hinkson, MD

  • Family Medicine Physician
  • Washington, DC
National Provider Identifier
1417161738
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD11105 Issued in DC
Practice address
2139 Georgia Ave NW
Washington, DC 20059
Phone
(202) 806-7540
Fax
(202) 806-7416
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
No

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
Family Medicine Physician 207Q00000X MD11105 DC Primary

Addresses

Primary practice location

2139 Georgia Ave NW
Washington, DC 20059

Mailing address

1803 Wetherbourne CT
Mitchellville, MD 20721
Phone (301) 925-9524

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
I20100928001366 DC Practitioner - Family Practice 4486770344 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD11105DCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Care Inc. CurrentSince May 26, 2010 Accepting new patients
Unity Health Care, Inc. CurrentSince May 26, 2010 Accepting new patients
Howard University Family Medicine Past Accepting new patients

Locations

1100 New Jersey Ave SE
Ste 500
Washington, DC 20003
Phone (202) 279-1817

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

Organizations & group practices 3

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417161738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 WETHERBOURNE CT",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "20721",
            "telephone_number": "301-925-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 GEORGIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20059",
            "telephone_number": "202-806-7540",
            "fax_number": "202-806-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER HINKSON",
        "first_name": "IRELENE",
        "middle_name": "I",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD11105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.