Individual provider Active NPI

Elizabeth Chacko Yogiaveetil, M.D.

  • Pulmonary Disease Physician
  • Washington, DC
National Provider Identifier
1629335518
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD043510 Issued in DC
Practice address
5215 Loughboro Rd NW Ste 400
Washington, DC 20016
Phone
(301) 656-7374
NPI assigned
Apr 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD043510 DC
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD043510 DC
Pulmonary Disease Physician 207RP1001X MD043510 DC Primary

Addresses

Primary practice location

5215 Loughboro Rd NW Ste 400
Washington, DC 20016

Mailing address

1131 University Blvd W Apt 702
Silver Spring, MD 20902-3308
Phone (240) 277-1216

Other practice location 1

3800 Reservoir Rd NW
Dept of Medicine
Washington, DC 20007-2113
Phone (202) 444-8168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, NY3 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
I20180907000572 DC Practitioner - Internal Medicine 9830449131 Reassigns benefits to 2 organizations
I20181015002513 MD Practitioner - Internal Medicine 9830449131 Reassigns benefits to 1 organization
I20210107002544 NY Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 9830449131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Georgetown University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Pulmonary Function GroupGroup PAC ID 4880583293, 22 clinicians

Practice addresses (Care Compare)

1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD043510DCMDPulmonary Disease Physician
307060NYMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Internal Medicine CurrentSince Jul 21, 2018 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 21, 2018 Accepting new patients
Privia Care Center LLC Internal Medicine CurrentSince Oct 3, 2017 Accepting new patients
Privia Medical Group, LLC Internal Medicine CurrentSince Aug 26, 2018 Accepting new patients
Privia Care Center LLC Internal Medicine CurrentSince Oct 3, 2017 Accepting new patients
Memorial Pulmonary Function Group Pulmonary Disease CurrentSince Oct 3, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5215 Loughboro Rd NW
Ste 400
Washington, DC 20016
Phone (301) 656-7374

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: eyogiaveetil26798@mskcc.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 7

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": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1629335518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 UNIVERSITY BLVD W APT 702",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209023308",
            "telephone_number": "240-277-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 LOUGHBORO RD NW STE 400",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20016",
            "telephone_number": "301-656-7374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Reservoir Rd NW",
            "address_2": "Dept of Medicine",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200072113",
            "country_code": "US",
            "telephone_number": "202-444-8168",
            "fax_number": "877-303-1460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOGIAVEETIL",
        "first_name": "ELIZABETH",
        "middle_name": "CHACKO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD043510",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "DC",
            "license": "MD043510",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "DC",
            "license": "MD043510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.