Individual provider Active NPI

Joann A Jackson, MD

  • Obstetrics & Gynecology Physician
  • Washington, DC
National Provider Identifier
1487701926
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD036030 Issued in DC
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

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070307000074 DC Practitioner - Obstetrics/Gynecology 0143323451 Reassigns benefits to 2 organizations

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
Reiter and Hill PLLCGroup PAC ID 0345237210, 17 clinicians
Maryland Physicians Edge LLCGroup PAC ID 5890913503, 73 clinicians

Practice addresses (Care Compare)

1133 21St St NW
Suite 200
Washington, DC 20036-3324
Phone (202) 331-0770

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
83.58 of 100Reported as group
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

LicenseStateTypeSpecialty
D0064418MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reiter and Hill PLLC Obstetrics & Gynecology CurrentSince Aug 28, 2010 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

  • Direct secure messaging: jo.ann.jackson.3@21608.direct.athenahealth.com
  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.