Individual provider Active NPI

Tadele Jembere, M.D.

  • Ophthalmology Physician
  • Washington, DC
National Provider Identifier
1710064373
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD11483 Issued in DC
Practice address
1140 Varnum St NE
Suite B010
Washington, DC 20017-2151
Phone
(202) 832-1522
Fax
(202) 832-6414
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD11483 DC Primary

Addresses

Primary practice location

1140 Varnum St NE
Suite B010
Washington, DC 20017-2151

Mailing address

1140 Varnum St NE
Suite B010
Washington, DC 20017-2151
Phone (202) 832-1522

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
I20050413001294 DC Practitioner - OphthalmologyPractitioner - Pediatric Medicine 0446297113 Reassigns benefits to 1 organization
Practice locations: Washington, DC

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Pediatric Medicine
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Health Care Inc.Group PAC ID 3476647264, shared by 23 NPIs, 151 clinicians

Practice addresses (Care Compare)

3020 14TH St NW
Washington, DC 20009-6865
Phone (202) 745-4300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eye One Surgical Assoc Ophthalmology CurrentSince Mar 1, 2021 Accepting new patients
Eyemax Ophthalmology PastSince Jan 8, 1991 Accepting new patients

Locations

3800 Reservoir Rd NW
Ph
Washington, DC 20007
Phone (202) 339-0001

6510 Kenilworth Ave
Ste 1300
Riverdale, MD 20737
Phone (301) 699-1166

Interoperability endpoints

  • Direct secure messaging: tadele.jembere.1@926.direct.athenahealth.com
  • Direct secure messaging: tadele.jembere@uhci.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/926/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710064373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 VARNUM ST NE",
            "address_2": "SUITE B010",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172151",
            "telephone_number": "202-832-1522",
            "fax_number": "202-832-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 VARNUM ST NE",
            "address_2": "SUITE B010",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172151",
            "telephone_number": "202-832-1522",
            "fax_number": "202-832-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEMBERE",
        "first_name": "TADELE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "MD11483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.