Organization Active NPI

Metro Renal Associates, PLLC

  • Nephrology Physician
  • Washington, DC
National Provider Identifier
1487905105
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
E23075 Issued in DC
Legal business name
METRO RENAL ASSOCIATES, PLLC
Practice address
106 Irving St NW
Suite 2500
Washington, DC 20010-2927
Phone
(202) 877-5408
Fax
(202) 722-0505
NPI assigned
Sep 20, 2012
Last updated
Sep 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Authorized official

Name
Dr. Cosette O Jamieson, M.D.NPI 1619083052
Title
Physician/Partner
Phone
(202) 877-5408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD19681 MD
Nephrology Physician 207RN0300X E23075 DC Primary

Addresses

Primary practice location

106 Irving St NW
Suite 2500
Washington, DC 20010-2927

Mailing address

106 Irving St NW
Suite 2500
Washington, DC 20010-2927
Phone (202) 877-5408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121211000361 DC Part B Supplier - Clinic/Group Practice 3072765460 Receives reassigned benefits from 4 practitioners
Practice locations: Capitol Heights, MD; Washington, DC

National Provider Directory

National Provider Directory

Locations

106 Irving St NW
Ste 2500
Washington, DC 20010
Phone (202) 877-5408

901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1487905105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 IRVING ST NW",
            "address_2": "SUITE 2500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102927",
            "telephone_number": "202-877-5408",
            "fax_number": "202-722-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 IRVING ST NW",
            "address_2": "SUITE 2500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102927",
            "telephone_number": "202-877-5408",
            "fax_number": "202-722-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO RENAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "JAMIESON",
        "authorized_official_first_name": "COSETTE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PHYSICIAN/PARTNER",
        "authorized_official_telephone_number": "202-877-5408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "MD19681",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "DC",
            "license": "E23075",
            "primary": true
        }
    ],
    "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 Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.