Active NPI
Cecillia Tsao, MD
- Endocrinology, Diabetes & Metabolism Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD034412
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035300800 | Medicaid | DC | |
| P00431121 | Other | DC | MEDICARE RAILROAD |
| 410695400 | Medicaid | MD |
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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD034412 | DC | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health Services Inc | Current | Accepting new patients | |
| Providence Health Services, Inc | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Ascension Saint Agnes Hospital | 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.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1245274901
Corporate Director
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.
-
- Family Medicine Physician
- Washington, DC
- NPI 1669453809
-
- Physiological Laboratory
- Washington, DC
- NPI 1598313595
-
- Neurology Physician
- Washington, DC
- NPI 1609031632
-
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
- NPI 1700882503
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Washington, DC
- NPI 1669426730
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.