Joel C. Ang, MD, PC
Organization Active NPI Family Medicine Physician · Washington, DC
NPI 1497954069 · NPPES record last updated Jul 28, 2014
Key facts
- NPI
- 1497954069
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- JOEL C. ANG, MD, PC
- Practice address
- 1759 Q St NW
Washington, DC 20009-2407 - Phone
- (202) 667-5041
- Fax
- (202) 667-0532
- NPI assigned
- Jul 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Jacqueline W Schick
- Title
- Administrator
- Phone
- (202) 667-5041
Practitioners 2
-
Joel C Ang, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 09D0207838 | Joel C Ang, MD PC Dba Q Street Medical Associates | Accreditation | Dec 22, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040426001815 | DC | Part B Supplier - Clinic/Group Practice | 6204823933 |
Receives reassigned benefits from 1 practitioner Practice locations: Washington, DC |
National Provider Directory
Locations
1759 Que St NW
Washington, DC 20009
Phone (202) 667-5041
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X |
Addresses
Primary practice location
1759 Q St NW
Washington, DC 20009-2407
Mailing address
1759 Q St NW
Washington, DC 20009-2407
Phone (202) 667-5041
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038681900 | Medicaid | DC | |
| 011068900 | Medicaid | DC |
Other names
- Cesar A. Caceres Inc
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.