Elise Yumi Shitama Jarris, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD037165 Issued in DC

Practice address

3800 Reservoir Rd NW
2 PHC
Washington, DC 20007-2113

Phone

(202) 444-8518

Fax

(202) 444-2961

NPI assigned

Jun 6, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Medstar Georgetown Medical Center, Inc

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1285636522
  Medicare reassignment NPD
• Medstar - Georgetown Medical Center, Inc.

  • Psychiatric Hospital Unit
  • Washington, DC
  • NPI 1487730636
  NPD

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1558520239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "202-687-2000",
            "fax_number": "202-687-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW",
            "address_2": "2 PHC",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "202-444-8518",
            "fax_number": "202-444-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRIS",
        "first_name": "ELISE YUMI",
        "middle_name": "SHITAMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DC",
            "license": "MD037165",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD037165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zeid Mohannad Zaki Jarrar
• David George Jarrett, M.D.
• Jacqueline Elnora Jarrett
• Maglene Jarrett
• Thomas W Jarrett, MD
• Emma Jarvi
• Jerald R Jarvi, PA-C
• Kristen Jarvis, RN
• Lenore Renee Jarvis, M.D.
• Louis Antonio Jarvis

• Family Medicine Physician in Washington, DC
• Providers in Washington, DC by specialty
• Family Medicine Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.

Verify at the official NPI Registry.