Individual provider Active NPI

Ana M. Ibrado, M.D.

  • Emergency Medicine Physician
  • Washington, DC
National Provider Identifier
1851376529
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036151587 Issued in IL
Practice address
1150 Varnum St. N.E.
Providence Hospital - Emergency Department
Washington, DC 20017
Phone
(202) 269-7996
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD33012 DC
Emergency Medicine Physician 207P00000X 01083565A IN
Emergency Medicine Physician 207P00000X 036151587 IL Primary

Addresses

Primary practice location

1150 Varnum St. N.E.
Providence Hospital - Emergency Department
Washington, DC 20017

Mailing address

1150 Varnum St. N.E.
Providence Hospital - Emergency Department
Washington, DC 20017
Phone (202) 269-7996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, IL, IN, ND, GA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20040323000444 DC Practitioner - Emergency Medicine 6204727936 Reassigns benefits to 1 organization
I20200317002066 IL Practitioner - Emergency Medicine 6204727936 Reassigns benefits to 2 organizations
I20200320001034 IN Practitioner - Emergency Medicine 6204727936 Reassigns benefits to 1 organization
I20200422001907 ND Practitioner - Emergency Medicine 6204727936 Reassigns benefits to 1 organization
I20210121001585 GA Practitioner - Emergency Medicine 6204727936

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01083565AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Nov 1, 2014 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
Mercy Home Care CurrentSince Apr 9, 2020 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
Mercy Medical Center Emergency Medicine CurrentSince Apr 9, 2020 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Nov 1, 2014 Accepting new patients
Vituity - Illinois Auc LLP Emergency Medicine Current Accepting new patients
Mercy Medical Center Current Accepting new patients
Vituity - Illinois Auc LLP Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
Baltimore Washington Emergency Physicians, Inc. Emergency Medicine Past Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

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

2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785

3369 Solutions Ctr
Chicago, IL 60677

801 W Temple Ave
Effingham, IL 62401
Phone (217) 342-5800

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

9515 Holy Cross Ln
Saint Rose, IL 62230
Phone (618) 526-4511

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1851376529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 VARNUM ST. N.E.",
            "address_2": "PROVIDENCE HOSPITAL - EMERGENCY DEPARTMENT",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20017",
            "telephone_number": "202-269-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 VARNUM ST. N.E.",
            "address_2": "PROVIDENCE HOSPITAL - EMERGENCY DEPARTMENT",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20017",
            "telephone_number": "202-269-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRADO",
        "first_name": "ANA",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DC",
            "license": "MD33012",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01083565A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036151587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.