Individual provider Active NPI

Sejal Bavishi, M.D.

  • Pediatrics Physician
  • Washington, DC
National Provider Identifier
1629334859
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD043202 Issued in DC
Practice address
4200 Wisconsin Ave NW
Department of Pediatrics
Washington, DC 20016-2143
Phone
(201) 407-3935
NPI assigned
Apr 2, 2012
Last updated
Jun 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD043202 DC Primary

Addresses

Primary practice location

4200 Wisconsin Ave NW
Department of Pediatrics
Washington, DC 20016-2143

Mailing address

145 Century Dr Apt 5404
Alexandria, VA 22304-5791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150727002138 DC Practitioner - Pediatric Medicine 3678887296 Reassigns benefits to 3 organizations
I20151020001110 VA Practitioner - Emergency Medicine 3678887296 Reassigns benefits to 1 organization
I20240402000005 MD Practitioner - Pediatric Medicine 3678887296 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. Pediatrics CurrentSince Aug 1, 2015 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jul 1, 2015 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2025 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Aug 1, 2015 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jul 1, 2015 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Aug 1, 2015 Accepting new patients
MGMC, LLC CurrentSince Feb 19, 2024 Accepting new patients
Medstar - Georgetown Medical Center, Inc. Past Accepting new patients

Locations

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

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

3800 Reservoir Rd NW
Bldg 4PHC
Washington, DC 20007

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

4200 Wisconsin Ave NW
Ste 400
Washington, DC 20016
Phone (202) 243-3558

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

20010 Century Blvd
Ste 200
Germantown, MD 20874

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1629334859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 CENTURY DR APT 5404",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223045791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 WISCONSIN AVE NW",
            "address_2": "DEPARTMENT OF PEDIATRICS",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162143",
            "telephone_number": "201-407-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAVISHI",
        "first_name": "SEJAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "MD043202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.