Individual provider Active NPI

Eugene Miknowski, M.D.

  • Rheumatology Physician
  • Washington, DC
National Provider Identifier
1457329567
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
16016 Issued in DC
Practice address
1145 19TH St NW
Suite 504
Washington, DC 20036-3701
Phone
(202) 296-4002
Fax
(202) 331-9365
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 16016 DC Primary

Addresses

Primary practice location

1145 19TH St NW
Suite 504
Washington, DC 20036-3701

Mailing address

1145 19TH St NW
Suite 504
Washington, DC 20036-3701
Phone (202) 296-4002

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
I20081002000121 DC Practitioner - RheumatologyPractitioner - Internal Medicine 7012085194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Primary Care and Associates LLCGroup PAC ID 5092991984, 167 clinicians
Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians
Sun Rise Rehab LLCGroup PAC ID 4880783810, 22 clinicians

Practice addresses (Care Compare)

15245 Shady Grove Rd
Suite 150
Rockville, MD 20850-7210
Phone (301) 869-9776

5530 Wisconsin Ave
Suite 850
Chevy Chase, MD 20815-4446
Phone (301) 869-9776

6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844

7249 Hanover Pkwy
Suite a
Greenbelt, MD 20770-3608
Phone (301) 613-8923

Hospital & facility affiliations

  • Sibley Memorial Hospital Hospital, Washington, DC, CCN 090005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16016DCMDRheumatology Physician

Interoperability endpoints

  • Direct secure messaging: eugene.miknowski@cpcl.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1457329567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 19TH ST NW",
            "address_2": "SUITE 504",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363701",
            "telephone_number": "202-296-4002",
            "fax_number": "202-331-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 19TH ST NW",
            "address_2": "SUITE 504",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363701",
            "telephone_number": "202-296-4002",
            "fax_number": "202-331-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKNOWSKI",
        "first_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "DC",
            "license": "16016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.