Active NPI
Addie E. Boone, MD
- Emergency Medicine Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD210002286
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, Inc
Practice addresses (Care Compare)
1310 Southern Ave SE
Washington, DC 20032-4623
Phone (202) 574-7039
Hospital & facility affiliations
- George Washington Univ Hospital
- Cedar Hill Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD210002286 | DC | MD | Emergency Medicine Physician |
| S9269 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Emergency Services Physician Group PA | Emergency Medicine | Current | Accepting new patients |
| Medical Faculty Associates, Inc | Emergency Medicine | Current | Accepting new patients |
| Medical Faculty Associates, Inc. | Emergency Medicine | Past | 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
- 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.
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
DC, Emergency Medicine
-
- Emergency Medicine Physician
- Fort Worth, TX
- NPI 1285922542
Emergency Medicine, TX
-
- Emergency Medicine Physician
- Washington, DC
- NPI 1619348349
Emergency Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.