Individual provider Active NPI

Addie E. Boone, MD

  • Emergency Medicine Physician
  • Washington, DC
National Provider Identifier
1659762425
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD210002286 Issued in DC
Practice address
1310 Southern Ave SE
Washington, DC 20032-4623
Phone
(202) 741-2911
NPI assigned
Feb 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S9269 TX
Emergency Medicine Physician 207P00000X MD210002286 DC Primary
Emergency Medicine Physician 207P00000X S9269 TX

Addresses

Primary practice location

1310 Southern Ave SE
Washington, DC 20032-4623

Mailing address

909 Scenic Hill Dr Apt 824
Fort Worth, TX 76111-1298
Phone (206) 393-7574

Other practice location 1

233 E Wacker Dr
Apt 3510
Chicago, IL 60601-5104
Phone (206) 393-7574

Other practice location 2

2120 L St NW Ste 450
Washington, DC 20037-1541
Phone (206) 393-7574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210907000908 TX Practitioner - Emergency Medicine 6901202654 Reassigns benefits to 1 organization
I20220528000029 DC Practitioner - Emergency Medicine 6901202654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Northwestern University Feinberg Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Faculty Associates, IncGroup PAC ID 4082528898, 676 clinicians

Practice addresses (Care Compare)

1310 Southern Ave SE
Washington, DC 20032-4623
Phone (202) 574-7039

Hospital & facility affiliations

  • George Washington Univ Hospital Hospital, Washington, DC, CCN 090001
  • Cedar Hill Regional Medical Center Hospital, Washington, DC, CCN 090012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD210002286DCMDEmergency Medicine Physician
S9269TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Emergency Services Physician Group PA Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Medical Faculty Associates, Inc Emergency Medicine CurrentSince May 20, 2022 Accepting new patients
Medical Faculty Associates, Inc. Emergency Medicine PastSince Mar 1, 2022 Accepting new patients

Locations

2120 L St NW
Ste 450
Washington, DC 20037
Phone (202) 741-2904

2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

1500 S Main St
Fl 1
Ft Worth, TX 76104
Phone (817) 702-1451

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

Interoperability endpoints

  • Direct secure messaging: aboone812394@direct.sw.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1659762425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 SCENIC HILL DR APT 824",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761111298",
            "telephone_number": "206-393-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SOUTHERN AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324623",
            "telephone_number": "202-741-2911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 E Wacker Dr",
            "address_2": "Apt 3510",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606015104",
            "country_code": "US",
            "telephone_number": "206-393-7574",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2120 L St NW Ste 450",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200371541",
            "country_code": "US",
            "telephone_number": "206-393-7574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOONE",
        "first_name": "ADDIE",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-13",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S9269",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DC",
            "license": "MD210002286",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "S9269",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.