Individual provider Active NPI

Cecillia Tsao, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Washington, DC
National Provider Identifier
1821101767
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD034412 Issued in DC
Practice address
128 M St NW
Washington, DC 20001-1205
Phone
(202) 854-3840
Fax
(202) 854-3854
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD034412 DC Primary

Addresses

Primary practice location

128 M St NW
Washington, DC 20001-1205

Mailing address

1150 Varnum St NE
Washington, DC 20017-2180
Phone (202) 854-4069

Other identifiers 3

IdentifierTypeStateIssuer
035300800MedicaidDC
P00431121OtherDCMEDICARE RAILROAD
410695400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040402000862 DC Practitioner - Internal Medicine 6406848811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health Services IncGroup PAC ID 4385541622, 17 clinicians

Practice addresses (Care Compare)

128 M St NW
PHS Perry Family Health Center
Washington, DC 20001-1205
Phone (202) 854-3840

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Washington, DC, CCN 097024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD034412DCMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health Services Inc CurrentSince Jan 1, 2019 Accepting new patients
Providence Health Services, Inc CurrentSince Jan 1, 2019 Accepting new patients
Baltimore Medical System, Inc. Past Accepting new patients
Providence Health Services, Inc Past Accepting new patients

Locations

1150 Varnum St NE
#102
Washington, DC 20017

1140 Varnum St NE
Ste 100
Washington, DC 20017
Phone (202) 854-7623

128 M St NW
Washington, DC 20001
Phone (202) 682-3840

128 M St NW
Ste 50
Washington, DC 20001
Phone (202) 682-3840

1150 Varnum St NE
Washington, DC 20017
Phone (202) 269-7000

4151 Bladensburg Rd
Colmar Manor, MD 20722
Phone (301) 699-7700

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ascension Saint Agnes HospitalBaltimore, MD, CCN 210011 Hospital Corporate Director Jul 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1821101767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 VARNUM ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172180",
            "telephone_number": "202-854-4069",
            "fax_number": "202-854-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 M ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200011205",
            "telephone_number": "202-854-3840",
            "fax_number": "202-854-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAO",
        "first_name": "CECILLIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "DC",
            "license": "MD034412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035300800",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00431121",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410695400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.