Individual provider Active NPI

Jeffrey P Haggquist, DO

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Washington, DC
National Provider Identifier
1750574893
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
DO034194 Issued in DC
Practice address
5630 Connecticut Ave NW Ste 2
Washington, DC 20015-2605
Phone
(202) 244-8222
NPI assigned
Aug 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X DO034194 DC Primary

Addresses

Primary practice location

5630 Connecticut Ave NW Ste 2
Washington, DC 20015-2605

Mailing address

5630 Connecticut Ave NW Ste 2
Washington, DC 20015-2605
Phone (202) 244-8222

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2014 through Jan 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO034194DCMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey P. Haggquist, DO, PLLC CurrentSince May 12, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5630 Connecticut Ave NW
Ste 2
Washington, DC 20015
Phone (202) 244-8222

5506 Connecticut Ave NW
Ste 27
Washington, DC 20015
Phone (202) 244-8222

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": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1750574893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5630 CONNECTICUT AVE NW STE 2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152605",
            "telephone_number": "202-244-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5630 CONNECTICUT AVE NW STE 2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152605",
            "telephone_number": "202-244-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGQUIST",
        "first_name": "JEFFREY",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "DC",
            "license": "DO034194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.