NPIMap

Individual provider Active NPI

Facika Tafara, MD

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1609808187
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD0046291 Issued in DC
Practice address
1133 21St St NW
Washington, DC 20036-3390
Phone
(202) 416-2000
NPI assigned
Jul 7, 2006
Last updated
Sep 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A79253 CA
Internal Medicine Physician 207R00000X MD0046291 DC Primary

Addresses

Primary practice location

1133 21St St NW
Washington, DC 20036-3390

Mailing address

1133 21St St NW
Washington, DC 20036-3390
Phone (202) 416-2000

Other identifiers 1

IdentifierTypeStateIssuer
79253OtherCALIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200518000074 DC Practitioner - Internal Medicine 7517994106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, San Francisco School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1133 21St St NW
Medstar at Lafayette Centre
Washington, DC 20036-3390
Phone (202) 416-2000

6410 Rockledge Dr
Bethesda, MD 20817-1844

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A79253CAMDInternal Medicine Physician
MD0046291DCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Jun 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1133 21st St NW
Washington, DC 20036
Phone (202) 223-9040

1133 21st St NW
Ste 600
Washington, DC 20036
Phone (202) 416-2062

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

Ownership & related parties

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kid Care Express IIISan Diego, CA, CCN 051054 Federally qualified health center W-2 Managing Employee Mar 3, 2003
Kid Care Express IISan Diego, CA, CCN 551910 Federally qualified health center W-2 Managing Employee Mar 3, 2003
Chase Avenue Family Health CenterEl Cajon, CA, CCN 551886 Federally qualified health center W-2 Managing Employee Mar 3, 2003
Beach Area Family Health CenterSan Diego, CA, CCN 051802 Federally qualified health center W-2 Managing Employee Mar 3, 2003
Elm Street Family Health CenterSan Diego, CA, CCN 551134 Federally qualified health center Corporate Director
W-2 Managing Employee		 Oct 28, 2008
Mar 3, 2003
Rice Family Health CenterChula Vista, CA, CCN 751051 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Oct 28, 2008
Mar 3, 2003
Beach Area Family Health Ctr AnnexSan Diego, CA, CCN 751006 Federally qualified health center Corporate Director
W-2 Managing Employee		 Oct 28, 2008
Mar 3, 2003
Dtfhc at ConnectionsSan Diego, CA, CCN 751003 Federally qualified health center Corporate Director
W-2 Managing Employee		 Oct 28, 2008
Mar 3, 2003
El Cajon Family Health CenterEl Cajon, CA, CCN 751837 Federally qualified health center W-2 Managing Employee Oct 28, 2008
Chula Vista Family Counseling CenterChula Vista, CA, CCN 751865 Federally qualified health center W-2 Managing Employee Mar 3, 2003

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1609808187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 21ST ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363390",
            "telephone_number": "202-416-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 21ST ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363390",
            "telephone_number": "202-416-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFARA",
        "first_name": "FACIKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A79253",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD0046291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "79253",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.