Active NPI
Joann A Jackson, MD
- Obstetrics & Gynecology Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD036030
- Practice address
- 1145 19TH St NW
#410
Washington, DC 20036 - Phone
- (202) 331-1740
- Fax
- (202) 296-9784
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | D0064418 | MD | |
| Obstetrics & Gynecology Physician | 207V00000X | MD036030 | DC | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 0101238331 | VA |
Addresses
Primary practice location
1145 19TH St NW
#410
Washington, DC 20036
Mailing address
1145 19TH St NW
Suite 410
Washington, DC 20036
Phone (202) 331-1740
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1133 21St St NW
Suite 200
Washington, DC 20036-3324
Phone (202) 331-0770
Hospital & facility affiliations
- Sibley Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.58 of 100
- Quality
- 81.75
- Improvement activities
- 40
- Cost
- 69.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0064418 | MD | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reiter and Hill PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Maryland Physicians Edge LLC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 410
Washington, DC 20036
Phone (202) 331-1740
1133 21st St NW
Ste 200
Washington, DC 20036
Phone (202) 331-1740
5530 Wisconsin Ave
Ste 604
Chevy Chase, MD 20815
Phone (301) 654-5700
407 N Washington St
Ste 105
Falls Church, VA 22046
Phone (703) 533-9211
Interoperability endpoints
- jo.ann.jackson.3@21608.direct.athenahealth.com
- https://api.platform.athenahealth.com/21608/brand/4/csg/41/fhir/r4
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Washington, DC
- NPI 1457560732
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, DC
- NPI 1366492977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487701926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 19TH ST NW",
"address_2": "SUITE 410",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20036",
"telephone_number": "202-331-1740",
"fax_number": "202-296-9784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 19TH ST NW",
"address_2": "#410",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20036",
"telephone_number": "202-331-1740",
"fax_number": "202-296-9784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "JOANN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MD",
"license": "D0064418",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "DC",
"license": "MD036030",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0101238331",
"primary": false
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.