Individual provider Active NPI

Cynthia Marie Carver Deklotz

  • Pediatric Dermatology Physician
  • Washington, DC
National Provider Identifier
1619134731
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Dermatology PhysicianTaxonomy code 207NP0225X
License
MD042708 Issued in DC
Practice address
4200 Wisconsin Ave NW
Fourth Floor
Washington, DC 20016-2143
Phone
(202) 295-0547
NPI assigned
May 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dermatology Physician 207NP0225X MD042708 DC Primary
Dermatology Physician 207N00000X D0078695 MD

Addresses

Primary practice location

4200 Wisconsin Ave NW
Fourth Floor
Washington, DC 20016-2143

Mailing address

110 Irving St NW
Suite 2B 44
Washington, DC 20010-3017

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150313001606 DC Practitioner - DermatologyPractitioner - Pediatric Medicine 1355582933 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0078695MDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince May 1, 2025 Accepting new patients
WHC Physician Group LLC CurrentSince Jan 5, 2015 Accepting new patients
MGMC, LLC Current Accepting new patients
Medstar Medical Group II LLC CurrentSince Aug 1, 2022 Accepting new patients
WHC Emerg Phys CurrentSince Jan 5, 2015 Accepting new patients
MGMC LLC CurrentSince Aug 1, 2022 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2025 Accepting new patients
WHC Physician Group LLC Dermatology Current Accepting new patients

Locations

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

4200 Wisconsin Ave NW
Ste 200
Washington, DC 20016
Phone (267) 825-2184

4200 Wisconsin Ave NW
Ste 4
Washington, DC 20016
Phone (202) 243-3400

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

4200 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 243-3400

110 Irving St NW
Ste 2B
Washington, DC 20010

5530 Wisconsin Ave
Ste 730
Chevy Chase, MD 20815
Phone (301) 656-3334

Organizations & group practices 8

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": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1619134731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 IRVING ST NW",
            "address_2": "SUITE 2B 44",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 WISCONSIN AVE NW",
            "address_2": "FOURTH FLOOR",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162143",
            "telephone_number": "202-295-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKLOTZ",
        "first_name": "CYNTHIA",
        "middle_name": "MARIE CARVER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "DC",
            "license": "MD042708",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0078695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.