NPIMap

Organization Active NPI

Capitol Medical Center LLC

Doing business as d/b/a Capitol Medical Center Group Practice

  • General Practice Physician
  • Washington, DC
National Provider Identifier
1871756817
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
HFDO10198 Issued in DC
Legal business name
CAPITOL MEDICAL CENTER LLC
Doing business as
d/b/a Capitol Medical Center Group Practice
Practice address
1310 Southern Ave SE
Washington, DC 20032-4623
Phone
(202) 574-6837
Fax
(202) 574-7188
NPI assigned
Jul 9, 2008
Last updated
May 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Authorized official

Name
Mr. John Montois
Title
Chief Financial Officer
Phone
(202) 574-6837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X HFDO10198 DC Primary

Addresses

Primary practice location

1310 Southern Ave SE
Washington, DC 20032-4623

Mailing address

1310 Southern Ave SE
Washington, DC 20032-4623
Phone (202) 574-6837

Other identifiers 1

IdentifierTypeStateIssuer
090008OtherDCMEDICARE ACUTE

Other names 1

  • d/b/a Capitol Medical Center Group Practice Doing business as

National Provider Directory

National Provider Directory

Locations

1310 Southern Ave SE
Ste 253
Washington, DC 20032
Phone (202) 574-6611

316 Pennsylvania Ave SE
Washington, DC 20003

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1871756817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 SOUTHERN AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324623",
            "telephone_number": "202-574-6837",
            "fax_number": "202-574-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SOUTHERN AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324623",
            "telephone_number": "202-574-6837",
            "fax_number": "202-574-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "MONTOIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "202-574-6837",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "DC",
            "license": "HFDO10198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ACUTE",
            "identifier": "090008",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "d/b/a Capitol Medical Center Group Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.