Individual provider Active NPI

Patricia Davidson, MD

  • Cardiovascular Disease Physician
  • Washington, DC
National Provider Identifier
1497829196
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD12134 Issued in DC
Practice address
106 Irving St NW
Suite 118
Washington, DC 20010-2994
Phone
(202) 877-3000
Fax
(202) 877-3860
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD12134 DC Primary

Addresses

Primary practice location

106 Irving St NW
Suite 118
Washington, DC 20010-2994

Mailing address

106 Irving St NW
Suite 118
Washington, DC 20010-2994
Phone (202) 877-3000

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
I20090812000481 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5496809345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Louisville School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

106 Irving St NW
Suite 118
Washington, DC 20010-2994
Phone (202) 877-3000

Hospital & facility affiliations

  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011
  • Sibley Memorial Hospital Hospital, Washington, DC, CCN 090005
  • Howard University Hospital Corp Hospital, Washington, DC, CCN 090003
  • Medstar Georgetown University Hospital Hospital, Washington, DC, CCN 090004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12134MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia Davidson M.D. P.C. Cardiovascular Disease CurrentSince Jul 8, 2009 Accepting new patients

Locations

106 Irving St NW
Ste 118
Washington, DC 20010
Phone (202) 269-4511

Organizations & group practices 1

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 4

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1497829196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 IRVING ST NW",
            "address_2": "SUITE 118",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102994",
            "telephone_number": "202-877-3000",
            "fax_number": "202-877-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 IRVING ST NW",
            "address_2": "SUITE 118",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102994",
            "telephone_number": "202-877-3000",
            "fax_number": "202-877-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DC",
            "license": "MD12134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.