Individual provider Active NPI

Deborah Vozzella Hall, M.D.

  • Pediatrics Physician
  • Washington, DC
National Provider Identifier
1689035511
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD047143 Issued in DC
Practice address
2101 Martin Luther King Jr Ave SE FL 5
Washington, DC 20020-5702
Phone
(202) 679-6900
NPI assigned
Mar 20, 2016
Last updated
Sep 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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 MD047143 DC Primary

Addresses

Primary practice location

2101 Martin Luther King Jr Ave SE FL 5
Washington, DC 20020-5702

Mailing address

2101 Martin Luther King Jr Ave SE FL 5
Washington, DC 20020-5702
Phone (202) 476-6900

Other practice location 1

5225 Connecticut Ave NW Ste 103
Washington, DC 20015-1813
Phone (202) 363-0300

Other practice location 2

1800 Orleans St
Baltimore, MD 21287-0010
Phone (410) 955-5000

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
I20210413000012 DC Practitioner - Pediatric Medicine 6800187238 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD047143DCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Current Accepting new patients
Children's Hospital Pediatrics CurrentSince Apr 7, 2021 Accepting new patients
Children's Hospital CurrentSince Apr 7, 2021 Accepting new patients
Chevy Chase Pediatric Center P.C. Pediatrics PastSince Apr 1, 2021 Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

2101 Martin Luther King Jr Ave SE
Fl 5
Washington, DC 20020
Phone (202) 476-6900

1800 Orleans St
Baltimore, MD 21287
Phone (410) 502-2037

Organizations & group practices 4

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": "1458432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1689035511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 MARTIN LUTHER KING JR AVE SE FL 5",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205702",
            "telephone_number": "202-476-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 MARTIN LUTHER KING JR AVE SE FL 5",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205702",
            "telephone_number": "202-679-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5225 Connecticut Ave NW Ste 103",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200151813",
            "country_code": "US",
            "telephone_number": "202-363-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Orleans St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870010",
            "country_code": "US",
            "telephone_number": "410-955-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "DEBORAH",
        "middle_name": "VOZZELLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-20",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "MD047143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.