Individual provider Active NPI

Hans Formum Enow I, NP

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1548893027
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP1062922 Issued in DC
Practice address
143 Kennedy St NW Ste 7
Washington, DC 20011-5269
Phone
(240) 755-1953
NPI assigned
Feb 13, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R214735 MD
Primary Care Clinic/Center 261QP2300X
Family Nurse Practitioner 363LF0000X NP1062922 DC Primary

Addresses

Primary practice location

143 Kennedy St NW Ste 7
Washington, DC 20011-5269

Mailing address

143 Kennedy St NW Ste 7
Washington, DC 20011-5269
Phone (240) 755-1953

Other names 1

  • Mr. Hans Formum Frank Enow Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.asteramedical.com Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220301001925 DC Practitioner - Nurse Practitioner 8022402437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Medical Group, Inc.Group PAC ID 7719278597, 104 clinicians

Practice addresses (Care Compare)

2131 O St NW
Inspire Rehab and Health Center
Washington, DC 20037-1008
Phone (202) 785-2577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R214735MDMDFamily Medicine Physician
NP1062922DCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Nephrology Associates LLC CurrentSince Dec 1, 2021 Accepting new patients
M Medical Group, Inc. CurrentSince Apr 15, 2025 Accepting new patients
Intergrity Healthcare System, LLC Current Accepting new patients
M Medical Group, Inc. CurrentSince Apr 15, 2025 Accepting new patients

Locations

2131 O St NW
Washington, DC 20037
Phone (202) 785-2577

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

7725 Belle Point Dr
Greenbelt, MD 20770
Phone (240) 965-7955

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1548893027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 KENNEDY ST NW STE 7",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115269",
            "telephone_number": "240-755-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 KENNEDY ST NW STE 7",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115269",
            "telephone_number": "240-755-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENOW",
        "first_name": "HANS FORMUM",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-13",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "R214735",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP1062922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.asteramedical.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7725 Belle Point Dr",
            "city": "Greenbelt",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207703300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HANS FORMUM",
            "last_name": "ENOW",
            "middle_name": "FRANK",
            "prefix": "MR.",
            "credential": "CRNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.