Active NPI
Iris Jo-Shi, D.O.
- Pediatric Gastroenterology Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 0102206212
- Practice address
- 3023 Hamaker CT Ste 600
Fairfax, VA 22031-2241 - Phone
- (703) 876-2788
- Fax
- (703) 839-8764
- NPI assigned
- Mar 26, 2014
- Last updated
- Nov 19, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Pediatric Gastroenterology Physician | 2080P0206X | 0102206212 | VA | Primary |
Addresses
Primary practice location
3023 Hamaker CT Ste 600
Fairfax, VA 22031-2241
Mailing address
3023 Hamaker CT Ste 600
Fairfax, VA 22031-2241
Phone (703) 876-2788
Other practice location 1
920 Madison Ave Ste 447
Memphis, TN 38103-3438
Phone (901) 287-6756
Other names 1
- Iris Jo
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102206212 | VA | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital | Current | Accepting new patients | |
| Children's Hospital | Current | Accepting new patients | |
| Children's Hospital | Current | Accepting new patients | |
| Inova Health Care Services - Pathology | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670
3023 Hamaker Ct
Ste 400
Fairfax, VA 22031
Phone (571) 226-8380
3023 Hamaker Ct
Ste 600
Fairfax, VA 22031
Interoperability endpoints
- ijoshi750664@soc.inova.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Children's Hospital
- Washington, DC
- NPI 1912939703
-
dba Children's National Specialty Pharmacy
- Community/Retail Pharmacy
- Silver Spring, MD
- NPI 1326878349
-
dba Children's National Medical Associates
- Pediatrics Physician
- Washington, DC
- NPI 1780800128
-
dba Inova Pathology Institute
- Anatomic Pathology & Clinical Pathology Physician
- Falls Church, VA
- NPI 1427369578
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1528485695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3023 HAMAKER CT STE 600",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312241",
"telephone_number": "703-876-2788",
"fax_number": "703-839-8764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3023 HAMAKER CT STE 600",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312241",
"telephone_number": "703-876-2788",
"fax_number": "703-839-8764"
}
],
"practiceLocations": [
{
"address_1": "920 Madison Ave Ste 447",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381033438",
"country_code": "US",
"telephone_number": "901-287-6756",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JO-SHI",
"first_name": "IRIS",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-26",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "VA",
"license": "0102206212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IRIS",
"last_name": "JO",
"credential": "DO",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.