Individual provider Active NPI

Joseph Kelaghan, M.D.

  • Public Health & General Preventive Medicine Physician
  • Washington, DC
National Provider Identifier
1780134940
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
MD14881 Issued in DC
Practice address
1800 R St NW Apt 601
Washington, DC 20009-1615
Phone
(202) 709-7658
NPI assigned
Oct 11, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X MD14881 DC Primary

Addresses

Primary practice location

1800 R St NW Apt 601
Washington, DC 20009-1615

Mailing address

1800 R St NW Apt 601
Washington, DC 20009-1615
Phone (202) 709-7658

Other identifiers 2

IdentifierTypeStateIssuer
14881OtherDCMEDICAL LICENSE
CS-88-01352OtherDCDC CONTROLLED SUBSTANCES LICENSE

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD14881DCMDPublic Health & General Preventive Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1780134940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 R ST NW APT 601",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200091615",
            "telephone_number": "202-709-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 R ST NW APT 601",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200091615",
            "telephone_number": "202-709-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELAGHAN",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "DC",
            "license": "MD14881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "14881",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC CONTROLLED SUBSTANCES LICENSE",
            "identifier": "CS-88-01352",
            "state": "DC"
        }
    ],
    "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 Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.