Eman Bamashmous, MD
Individual provider Active NPI Pediatric Rheumatology Physician · Washington, DC
NPI 1699348748 · NPPES record last updated Jun 23, 2024
Key facts
- NPI
- 1699348748
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Rheumatology Physician 2080P0216X
- License
- MD500002954 (DC)
- Practice address
- 111 Michigan Ave NW
Washington, DC 20010-2916 - Phone
- (202) 476-5000
- NPI assigned
- Jul 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210727002488 | MI | Order and Referring Only - Pediatric Medicine |
6305249483 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD500002954 | DC | MD | Pediatric Rheumatology Physician |
Interoperability endpoints
- ebamashmous866103@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Rheumatology Physician | 2080P0216X | MD500002954 | DC | Yes |
Addresses
Primary practice location
111 Michigan Ave NW
Washington, DC 20010-2916
Mailing address
111 Michigan Ave NW
Washington, DC 20010-2916
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.