NPIMap

Individual provider Active NPI

Dana C Ackerly, M.D.

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1730316555
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD045878 Issued in DC
Practice address
4910 Massachusetts Ave NW Ste 215
Washington, DC 20016-4368
Phone
(202) 953-0990
Fax
(202) 845-7344
NPI assigned
Jun 19, 2009
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L-240151 MA
Internal Medicine Physician 207R00000X MD54022 TN
Internal Medicine Physician 207R00000X MD045878 DC Primary
Physical Medicine & Rehabilitation Physician 208100000X MD54022 TN

Addresses

Primary practice location

4910 Massachusetts Ave NW Ste 215
Washington, DC 20016-4368

Mailing address

4910 Massachusetts Ave NW Ste 215
Washington, DC 20016-4368
Phone (202) 953-0990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 18, 2018 through Jul 18, 2028

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Duke University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6410 Rockledge Dr
Bethesda, MD 20817-1844

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD045878DCMDInternal Medicine Physician
L-240151MAMDInternal Medicine Physician
MD54022TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ackerly McBride Group PLLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Trinity Home Health Services PastSince Jun 18, 2015 Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 215
Washington, DC 20016
Phone (202) 953-0990

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1730316555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 MASSACHUSETTS AVE NW STE 215",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164368",
            "telephone_number": "202-953-0990",
            "fax_number": "202-845-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 MASSACHUSETTS AVE NW STE 215",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164368",
            "telephone_number": "202-953-0990",
            "fax_number": "202-845-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERLY",
        "first_name": "DANA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-19",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "L-240151",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD54022",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD045878",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "MD54022",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.