Active NPI
Manoochehr Pooya, MD
- Internal Medicine Physician
- Washington, DC
National Provider Identifier
1770663882
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(2) exclusion effective Sep 20, 2009.
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4594
- Practice address
- 700 7TH St SW
G2
Washington, DC 20024-2442 - Phone
- (202) 543-8067
- Fax
- (301) 983-4036
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4594 | DC | Primary |
Addresses
Primary practice location
700 7TH St SW
G2
Washington, DC 20024-2442
Mailing address
11021 Balantre Lane
Potomac, MD 20854-1323
Phone (202) 543-8067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4594 | DC | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770663882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11021 BALANTRE LANE",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208541323",
"telephone_number": "202-543-8067",
"fax_number": "301-983-4036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 7TH ST SW",
"address_2": "G2",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200242442",
"telephone_number": "202-543-8067",
"fax_number": "301-983-4036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOYA",
"first_name": "MANOOCHEHR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DC",
"license": "4594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.