Individual provider Active NPI

Nilufar Medhane, DPM

  • Podiatrist
  • Washington, DC
National Provider Identifier
1811062862
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DPM0589 Issued in DC
Practice address
2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Phone
(202) 741-3333
Fax
(202) 741-3396
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DPM0589 DC Primary

Addresses

Primary practice location

2150 Pennsylvania Ave NW
Washington, DC 20037-3201

Mailing address

2150 Pennsylvania Ave NW
Department of Surgery
Washington, DC 20037-3201
Phone (202) 741-3191

Other identifiers 1

IdentifierTypeStateIssuer
017156900MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101203000680 DC Practitioner - Podiatry 1658568639 Reassigns benefits to 2 organizations
I20220321001661 MD Practitioner - Podiatry 1658568639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Some IncGroup PAC ID 0143200469, 7 clinicians
Healthdrive Podiatry Group PCGroup PAC ID 3375446958, 105 clinicians

Practice addresses (Care Compare)

60 O St NW
Washington, DC 20001-1259
Phone (202) 797-8806

6700 Alexander Bell Dr
Suite 200
Columbia, MD 21046-2105
Phone (888) 964-6681

7525 Carroll Ave
Takoma Park, MD 20912-5715
Phone (888) 964-6681

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue2147
Removal or shaving of skin growth216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DPM0589DCMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Podiatry Group, PC Podiatrist CurrentSince Mar 28, 2022 Accepting new patients
Some, Inc CurrentSince Nov 1, 2022 Accepting new patients
Some, Inc CurrentSince Nov 1, 2022 Accepting new patients
Healthdrive Podiatry Group, PC Podiatrist CurrentSince Mar 28, 2022 Accepting new patients
Charles F. Wilson, D.P.M., P.C. Past Accepting new patients

Locations

60 O St NW
Washington, DC 20001
Phone (202) 797-8806

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

6700 Alexander Bell Dr
Ste 200
Columbia, MD 21046
Phone (201) 581-3411

7525 Carroll Ave
Takoma Park, MD 20912
Phone (301) 270-4200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3844/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nmedhane19762@gwmfa.direct-ci.com

Organizations & group practices 5

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1811062862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PENNSYLVANIA AVE NW",
            "address_2": "DEPARTMENT OF SURGERY",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200373201",
            "telephone_number": "202-741-3191",
            "fax_number": "202-741-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 PENNSYLVANIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200373201",
            "telephone_number": "202-741-3333",
            "fax_number": "202-741-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDHANE",
        "first_name": "NILUFAR",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "DC",
            "license": "DPM0589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017156900",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.