Active NPI
Rongrong Tao, MD
- Child & Adolescent Psychiatry Physician
- Washington, DC
National Provider Identifier
1811959844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD040760
- Practice address
- 2115 Wisconsin Ave NW
Washington, DC 20007-2265 - Phone
- (202) 944-5400
- NPI assigned
- Apr 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 40677 | TX | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD040760 | DC | Primary |
Addresses
Primary practice location
2115 Wisconsin Ave NW
Washington, DC 20007-2265
Mailing address
PO Box 418407
Boston, MA 02241-8407
Phone (703) 558-1544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171264801 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40677 | TX | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1811959844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 418407",
"city": "BOSTON",
"state": "MA",
"postal_code": "022418407",
"telephone_number": "703-558-1544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 WISCONSIN AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200072265",
"telephone_number": "202-944-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAO",
"first_name": "RONGRONG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "40677",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "DC",
"license": "MD040760",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171264801",
"state": "TX"
}
],
"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 Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.