Active NPI
Ilera Allergy and Asthma Center
- Medical Specialty Clinic/Center
- Washington, DC
National Provider Identifier
1821759366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- ILERA ALLERGY AND ASTHMA CENTER
- Practice address
- 660 Pennsylvania Ave SE Ste 101
Washington, DC 20003-4346 - Phone
- (202) 681-5457
- NPI assigned
- Jan 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Olabunmi Agboola, MD
- Title
- Ceo/ Medical Director
- Phone
- (202) 681-5457
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
660 Pennsylvania Ave SE Ste 101
Washington, DC 20003-4346
Mailing address
660 Pennsylvania Ave SE Ste 101
Washington, DC 20003-4346
Phone (202) 681-5457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641427200000",
"number": "1821759366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 PENNSYLVANIA AVE SE STE 101",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200034346",
"telephone_number": "202-681-5457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 PENNSYLVANIA AVE SE STE 101",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200034346",
"telephone_number": "202-681-5457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ILERA ALLERGY AND ASTHMA CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-06",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A",
"authorized_official_last_name": "AGBOOLA",
"authorized_official_first_name": "OLABUNMI",
"authorized_official_title_or_position": "CEO/ MEDICAL DIRECTOR",
"authorized_official_telephone_number": "202-681-5457",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.